Lifesource of North Carolina
NPI 1821535428ActiveOrganization· General Practice· Irondale, AL
General Practice in Irondale, Alabama, registered in NPPES in January 2017, part of Lifesource of North Carolina. The authorized official on file is Peggy Baddour, President/Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1821535428 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Lifesource of North Carolina |
| NPI issued | Jan 21, 2017 |
| Last updated in NPPES | Mar 26, 2021 |
| Certified by provider | Mar 26, 2021 |
Specialties and licenses
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (AL) |
|---|
Other General Practice providers in Irondale
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