OrganizationActive
Life Source, PC
NPI 1124460985 · Family Medicine Physician · Holly Springs, NC
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
Detailed profile(77/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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
1108 Kentworth Dr
Suite 704
Holly Springs, NC 27540-3325
Phone: (919) 552-9952
Fax: (919) 552-3062
Street-level locationGet directions
Mailing address
1108 Kentworth Dr
Holly Springs, NC 27540-3325
Registry dates
- Enumerated
- 2013-07-22
- Last updated
- 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.