Life Source, PC
NPI 1124460985 · Family Medicine Physician · Holly Springs, NC
Life Source, PC is a Family Medicine Physician organization in Holly Springs, NC (NPI 1124460985).
Provider details
- NPI number
- 1124460985
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Feyisayo Adeyina, Owner(919) 552-9952
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2013-07-22
- Last updated
- 2013-07-22
Frequently asked questions
- What is Life Source, PC's NPI number?
- Life Source, PC's National Provider Identifier (NPI) is 1124460985, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Life Source, PC?
- Life Source, PC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Life Source, PC located?
- Life Source, PC's practice location on file with NPPES is 1108 Kentworth Dr, Holly Springs, NC 27540-3325.
- What is Life Source, PC's phone number?
- The practice phone number listed in the NPPES registry for Life Source, PC is (919) 552-9952.
- Who is the authorized official for Life Source, PC?
- The authorized official listed on Life Source, PC's NPPES record is Feyisayo Adeyina, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Life Source, PC's NPI active?
- Yes — Life Source, PC's NPI (1124460985) is active in the NPPES registry as of the last update on 2013-07-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.