Lifesource Prime Inc
NPI 1598533275 · Family Medicine Physician · Wilmington, NC
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Lifesource Prime Inc is a Family Medicine Physician organization in Wilmington, NC (NPI 1598533275).
Provider details
- NPI number
- 1598533275
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Peggy Baddour, Ceo(910) 742-9243
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
2 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
- 2023-12-13
- Last updated
- 2025-10-28
- Certified
- 2025-10-28
Frequently asked questions
- What is Lifesource Prime Inc's NPI number?
- Lifesource Prime Inc's National Provider Identifier (NPI) is 1598533275, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lifesource Prime Inc?
- Lifesource Prime Inc is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Lifesource Prime Inc located?
- Lifesource Prime Inc's practice location on file with NPPES is 3205 Randall Pkwy Ste 105, Wilmington, NC 28403-2565.
- What is Lifesource Prime Inc's phone number?
- The practice phone number listed in the NPPES registry for Lifesource Prime Inc is (910) 742-9243.
- Does Lifesource Prime Inc accept Medicare?
- Lifesource Prime Inc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Lifesource Prime Inc?
- The authorized official listed on Lifesource Prime Inc's NPPES record is Peggy Baddour, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lifesource Prime Inc's NPI active?
- Yes — Lifesource Prime Inc's NPI (1598533275) is active in the NPPES registry as of the last update on 2025-10-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.