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Lifesource of North Carolina

General Practice Physician in Clinton, SC · enumerated 2012 · authorized official Peggy Baddour, President/Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1972861789

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Registry record

Entity type Organization (Type 2)
Legal business name Lifesource of North Carolina
Practice address 939 Springdale Dr, Clinton, SC, 29325
Phone (910) 742-9243
Enumeration date Apr 30, 2012
Last updated in NPPES May 17, 2022

Taxonomy & classification

103TC0700X Clinical Psychologist Behavioral Health & Social Service Providers Secondary
1041C0700X Clinical Social Worker Behavioral Health & Social Service Providers Secondary
207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Secondary
2084P0800X Psychiatry Physician Allopathic & Osteopathic Physicians Secondary
208D00000X General Practice Physician Allopathic & Osteopathic Physicians Primary
363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers Secondary
363L00000X Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary

Authorized official

Name Peggy Baddour
Title President/Owner
Phone (910) 777-9165

Other identifiers

Identifier Type State Issuer
GP5917 Medicaid SC -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Lifesource of North Carolina?
NPPES lists Peggy Baddour (President/Owner) as the authorized official for this organization.
What is the NPI number for Lifesource of North Carolina?
The NPI for Lifesource of North Carolina is 1972861789, a Type 2 (organization) record in the CMS NPPES registry.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-05-17.