Lifesource of North Carolina
NPI 1972861789ActiveOrganization· General Practice· Clinton, SC
General Practice in Clinton, South Carolina, registered in NPPES in April 2012. The authorized official on file is Peggy L. Baddour, President/Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1972861789 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 30, 2012 |
| Last updated in NPPES | May 17, 2022 |
| Certified by provider | May 17, 2022 |
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 (SC) |
|---|
Other general practitioners in Clinton
- 1851363535