LIFESOURCE OF GEORGIA
NPI 1962940817
General Practice in Rome, GA
NPI Status: Active since February 10, 2017
Contact Information
1345 REDMOND CIR NW
ROME, GA
ZIP 30165
Phone: (910) 742-9243
Fax: (888) 746-1787
- Organization
- General Practice
- Accepts Insurance
About LIFESOURCE OF GEORGIA
This page provides the complete NPI Profile along with additional information for Lifesource Of Georgia, a primary care provider established in Rome, Georgia operating as a General Practice. The healthcare provider is registered in the NPI registry with number 1962940817 assigned on February 2017. The practitioner's primary taxonomy code is 208D00000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. Lifesource Of Georgia operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Lifesource Of Georgia. The authorized official of this NPI record is Peggy L Baddour (President)
- NPI
- 1962940817
- Provider Legal Name
- LIFESOURCE OF NORTH CAROLINA
- Other Organization Name
- LIFESOURCE OF GEORGIA
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1345 REDMOND CIR NW ROME, GA 30165
- Location Phone
- (910) 742-9243
- Location Fax
- (888) 746-1787
- Mailing Address
- PO BOX 538622 ATLANTA, GA 30353
- Mailing Phone
- (910) 535-1211
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 02-10-2017
- Last Update Date
- 03-26-2021
- Code Navigator
A primary care provider (PCP) like Lifesource Of Georgia sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
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
General Practice
- Taxonomy Code
- 208D00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
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 | 103T00000X | 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
- Clear Silver - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Elite Gold + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Silver - HMO
- Elite Silver + Vision + Adult Dental - HMO
- Enhanced Diabetes Care Silver with $0 Drug Options - HMO
- Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Elite Gold - EPO
- Elite Gold + Vision + Adult Dental - EPO
- Elite Silver - EPO
- Elite Silver + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Clear Silver with $0 Insulin Options - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Complete Gold with Atrium Health - HMO
- Complete Gold with Atrium Health + Vision + Adult Dental - HMO
- Complete Silver with Atrium Health - HMO
- Complete Silver with Atrium Health + Vision + Adult Dental - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Bronze with Atrium Health - HMO
- Clear Silver - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Elite Gold - EPO
- Elite Gold + Vision + Adult Dental - EPO
- Enhanced Diabetes Care Silver with $0 Drug Options - EPO
- Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Everyday Gold - EPO
- 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
- Standard Expanded Bronze WellCare - PPO
- Standard Gold WellCare - PPO
- Standard Silver WellCare - PPO
*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 | 9 | 6 | 2 | 9 | 4 | 0 | 8 | 1 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 9 | 12 | 2 | 18 | 4 | 0 | 8 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 9 + 1 + 2 + 2 + 1 + 8 + 4 + 0 + 8 + 2 + 24 = 63 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 63 = 7 | 7 | ||||||||
The NPI number 1962940817 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 14 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1104051168 | TRESSELYN DOUGLAS ADAMS PMHNP-BC Individual | Nurse Practitioner (Psychiatric/Mental Health) | 1345 REDMOND CIR NW ROME, GA 30165 (910) 742-9243 |
| 1275182024 | ANALYN CASTANAR OT Individual | Occupational Therapist | 1345 REDMOND CIR NW ROME, GA 30165 (706) 234-8281 |
| 1437100484 | PHYLLIS J JETER LCSW Individual | Social Worker (Clinical) | 1345 REDMOND CIR NW ROME, GA 30165 (910) 742-9243 |
| 1265064455 | AUBRIE KREFT Individual | Physical Therapist | 1345 REDMOND CIR NW ROME, GA 30165 (706) 234-8281 |
| 1144898602 | AQUARIUS S CARD LCSW Individual | Social Worker (Clinical) | 1345 REDMOND CIR NW ROME, GA 30165 (910) 742-9243 |
| 1063181535 | STEPHEN MORRIS PTA Individual | Physical Therapy Assistant | 1345 REDMOND CIR NW ROME, GA 30165 (706) 234-8281 |
| 1225508542 | MRS. BREONNA LEON NP Individual | Nurse Practitioner (Gerontology) | 1345 REDMOND CIR NW ROME, GA 30165 (910) 742-9243 |
| 1669801551 | BARBARA RUBIN PSY. D Individual | Psychologist | 1345 REDMOND CIR NW ROME, GA 30165 (910) 742-9243 |
| 1649914441 | HARBORVIEW ROME, LLC Organization | Skilled Nursing Facility | 1345 REDMOND CIR NW ROME, GA 30165 (706) 234-8281 |
| 1962121988 | MICHELLE MEADOWS LCSW Individual | Social Worker (Clinical) | 1345 REDMOND CIR NW ROME, GA 30165 (910) 742-9243 |
| 1780394981 | LINDA UDEANI Individual | Nurse Practitioner (Psychiatric/Mental Health) | 1345 REDMOND CIR NW ROME, GA 30165 (910) 742-9243 |
| 1023701307 | KAYLA LIVINGSTON LANE PMHNP-BC Individual | Nurse Practitioner (Psychiatric/Mental Health) | 1345 REDMOND CIR NW ROME, GA 30165 (910) 742-9243 |
| 1417217092 | MR. WILLIE JAMES CAMPBELL LCSW Individual | Social Worker (Clinical) | 1345 REDMOND CIR NW ROME, GA 30165 (910) 742-9243 |
| 1295512069 | ANNE HOBAN FNP-C Individual | Nurse Practitioner (Family) | 1345 REDMOND CIR NW ROME, GA 30165 (706) 234-8281 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1962940817, enumerated in the NPI registry as an "organization" on February 10, 2017
The provider is located at 1345 Redmond Cir Nw Rome, Ga 30165 and the phone number is (910) 742-9243
This medical organization specializes in General Practice with taxonomy code 208D00000X
The provider might be accepting Accepts: Aetna CVS Health, Ambetter from Absolute Total. 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 February 10, 2017. 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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