LIFESOURCE OF NORTH CAROLINA – Clinical Social Worker, NPI 1649877762

LIFESOURCE OF NORTH CAROLINA is a healthcare provider. based in Atlanta, Georgia. specializing in Clinical Social Worker. The NPI Number for LIFESOURCE OF NORTH CAROLINA is 1649877762

Main info

Organization
Name
LIFESOURCE OF NORTH CAROLINA
NPI
1649877762
Phone
(910) 742-9243
Address
PO BOX 538622
Authorized Official
PEGGY BADDOUR PRESIDENT
Enumeration Date
1 October 2020
Last Update Date
25 March 2021
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience35
Completeness75
Years active:5State licenses:0Digital endpointsOther names

Provider Addresses for LIFESOURCE OF NORTH CAROLINA

  • PO BOX 538622

    ATLANTA, GA 303538622

    Phone: (910) 742-9243

    Fax: (888) 746-1787

    Type: Mailing

  • 501 2ND ST

    MENOMINEE, MI 498583203

    Phone: (910) 742-9243

    Fax: (888) 746-1787

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30353)

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Reviews

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Frequently asked questions

What unique ID ties claims to LIFESOURCE OF NORTH CAROLINA?
NPI 1649877762 is assigned to LIFESOURCE OF NORTH CAROLINA under the national enumeration system.
Is LIFESOURCE OF NORTH CAROLINA's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does LIFESOURCE OF NORTH CAROLINA list a primary specialty?
If you are matching referrals, note Clinical Social Worker for LIFESOURCE OF NORTH CAROLINA. Clinical services aligned with this taxonomy classification.
Where does public data place LIFESOURCE OF NORTH CAROLINA?
The snapshot lists Atlanta, Georgia for LIFESOURCE OF NORTH CAROLINA; download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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