Lifesource of North Carolina
NPI 1962940817ActiveOrganization· General Practice· Rome, GA
General Practice in Rome, Georgia, registered in NPPES in February 2017, part of Lifesource of North Carolina. The authorized official on file is Peggy L. Baddour, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1962940817 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Lifesource of North Carolina |
| NPI issued | Feb 10, 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 · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (GA) |
|---|
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