LIFESOURCE OF NORTH CAROLINA
NPI 1811286156
Internal Medicine in Wilmington, NC
NPI Status: Active since April 06, 2011
Contact Information
3205 RANDALL PKWY
SUITE 105
WILMINGTON, NC
ZIP 28403
Phone: (910) 742-9243
Fax: (888) 746-1787
- Organization
- Internal Medicine
- Accepts Insurance
About LIFESOURCE OF NORTH CAROLINA
This page provides the complete NPI Profile along with additional information for Lifesource Of North Carolina, an internist established in Wilmington, North Carolina operating as a Internal Medicine. The healthcare provider is registered in the NPI registry with number 1811286156 assigned on April 2011. The practitioner's primary taxonomy code is 207R00000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. Lifesource Of North Carolina operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Peggy L Baddour (President/owner)
- NPI
- 1811286156
- Provider Name
- LIFESOURCE OF NORTH CAROLINA
- Entity Type
- Organization
- Location Address
- 3205 RANDALL PKWY SUITE 105 WILMINGTON, NC 28403
- Location Phone
- (910) 742-9243
- Location Fax
- (888) 746-1787
- Mailing Address
- PO BOX 538622 LIFESOURCE OF NORTH CAROLINA ATLANTA, GA 30353
- Mailing Phone
- (910) 742-9243
- Mailing Fax
- (888) 746-1787
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-06-2011
- Last Update Date
- 12-29-2021
- Code Navigator
An internist like Lifesource Of North Carolina is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
Location Map
Secondary Locations
- 4002 Executive Park Blvd Ste 300
Southport, NC 28461
(910) 742-9243
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Internal Medicine
- Taxonomy Code
- 207R00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 103TC0700X | Behavioral Health & Social Service Providers | Psychologist | |
| 2 | 1041C0700X | Behavioral Health & Social Service Providers | Social Worker | |
| 3 | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine | |
| 4 | 2084P0800X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | |
| 5 | 363A00000X | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | |
| 6 | 363L00000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze 2 Advanced HSA: Aetna network + MinuteClinic + Virtual Primary Care - HMO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Silver 5 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Silver 5 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Blue Advantage Bronze Basic | 3 Free PCP | $20 Tier 1 Rx | Integrated | Nationwide Doctors - PPO
- Blue Advantage Bronze Complete | $60 PCP | $20 Tier 1 Rx | Nationwide Doctors - PPO
- Blue Advantage Bronze Standard | Nationwide Doctors - PPO
- Blue Advantage Gold Premier | 3 Free PCP | $10 Tier 1 Rx | Nationwide Doctors - PPO
- Blue Advantage Gold Standard | Nationwide Doctors - PPO
- Blue Advantage Silver Choice | 3 Free PCP | $15 Tier 1 Rx | Nationwide Doctors - PPO
- Blue Advantage Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | Nationwide Doctors - PPO
- Blue Advantage Silver Standard | Nationwide Doctors - PPO
- Blue Care Bronze Standard | Statewide Doctors - HMO
- Blue Care Gold Standard | Statewide Doctors - HMO
- Blue Care Silver Standard | Statewide Doctors - HMO
- Connect Bronze 5500 Indiv Med Deductible - HMO
- Connect Bronze 6500 Indiv Med Deductible - HMO
- Connect Bronze CMS Standard - HMO
- Connect Gold CMS Standard - HMO
- Connect Silver 3500 Indiv Med Deductible - HMO
- Connect Silver 4400 Indiv Med Deductible - HMO
- Connect Silver CMS Standard - HMO
- Gold 1 - HMO
- Gold 1 with Adult Vision Services - HMO
- Gold 8 - HMO
- Silver 1 - HMO
- Silver 1 with Adult Vision Services - HMO
- Silver 12 - HMO
- Silver 8 - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 8 | 1 | 1 | 2 | 8 | 6 | 1 | 5 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 8 | 2 | 1 | 4 | 8 | 12 | 1 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 8 + 2 + 1 + 4 + 8 + 1 + 2 + 1 + 1 + 0 + 24 = 54 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 54 = 6 | 6 | ||||||||
The NPI number 1811286156 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 17 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1598968349 | DR. BEN T RIGBY PH.D. Individual | Psychologist | 3205 RANDALL PKWY SUITE 217 WILMINGTON, NC 28403 (910) 254-4545 |
| 1306010533 | CIRCLE OF COURAGE OF BRUNSWICK CO., LLC Organization | Residential Treatment Facility, Emotionally Disturbed Children | 3205 RANDALL PKWY SUITE 207 WILMINGTON, NC 28403 (910) 338-0001 |
| 1447541461 | RIGBY PSYCHOLOGICAL SERVICES PLLC Organization | Psychologist | 3205 RANDALL PKWY SUITE 217 WILMINGTON, NC 28403 (910) 254-4545 |
| 1285777599 | ARLENE GEORGIA GALLAN PHD INC Organization | Psychologist (Clinical) | 3205 RANDALL PKWY SUITE 126 WILMINGTON, NC 28403 (910) 815-3535 |
| 1659543585 | KRISTEN DANIELLE RUDY M.S., ATR, NCC, LPC Individual | Counselor (Mental Health) | 3205 RANDALL PKWY STE. 128 WILMINGTON, NC 28403 (910) 777-1866 |
| 1760490114 | MR. CORBIN HOBBIE LCSW Individual | Social Worker | 3205 RANDALL PKWY SUITE 105 WILMINGTON, NC 28403 (910) 742-9243 |
| 1568796886 | DR. MICHAEL BESIO JR. PSY.D. Individual | Psychologist | 3205 RANDALL PKWY SUITE 105 WILMINGTON, NC 28403 (910) 742-9243 |
| 1174633457 | MS. LINDA D CAPPIELLO NURSE PRACTITIONER Individual | Nurse Practitioner | 3205 RANDALL PKWY WILMINGTON, NC 28403 (910) 742-9243 |
| 1407938426 | DR. KATHLEEN ANN TRICKLE PSY.D. Individual | Psychologist | 3205 RANDALL PKWY SUITE 105 WILMINGTON, NC 28403 (910) 742-9243 |
| 1780859900 | MR. SHAWN CHRISTOPHER CONSEY PA-C Individual | Physician Assistant | 3205 RANDALL PKWY SUITE 105 WILMINGTON, NC 28403 (910) 742-9243 |
| 1508216516 | MARY BRONWYN LEE PHD Individual | Psychologist | 3205 RANDALL PKWY SUITE 105 WILMINGTON, NC 28403 (910) 742-9243 |
| 1508258583 | HEATHER JEAN MCFARLAND PMHNP-BC Individual | Nurse Practitioner (Psychiatric/Mental Health) | 3205 RANDALL PKWY SUITE 105 WILMINGTON, NC 28403 (910) 742-9243 |
| 1770950826 | CHRISTOPHER MICHAEL NEUENFELDT PSYD Individual | Psychologist | 3205 RANDALL PKWY SUITE 105 WILMINGTON, NC 28403 (910) 742-9243 |
| 1902923055 | MS. MARILYN CHRISTINE MADDEN ANP Individual | Nurse Practitioner | 3205 RANDALL PKWY SUITE 105 WILMINGTON, NC 28403 (910) 742-9243 |
| 1174069132 | WILMINGTON NC HOMECARE LLC Organization | In Home Supportive Care | 3205 RANDALL PKWY STE 127 WILMINGTON, NC 28403 (910) 777-5926 |
| 1821490434 | CRYSTAL OSTHEIM FNP-BC, NP-C Individual | Nurse Practitioner (Family) | 3205 RANDALL PKWY WILMINGTON, NC 28403 (910) 742-9243 |
| 1457929903 | KARI ANNE SPENCER Individual | Nurse Practitioner | 3205 RANDALL PKWY WILMINGTON, NC 28403 (919) 521-0833 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1811286156, enumerated in the NPI registry as an "organization" on April 06, 2011
The provider is located at 3205 Randall Pkwy Suite 105 Wilmington, Nc 28403 and the phone number is (910) 742-9243
This medical organization specializes in Internal Medicine with taxonomy code 207R00000X
The provider might be accepting Accepts: Aetna CVS Health, Blue Cross and Blue Shield of. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on April 06, 2011. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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