P Praxis·MD
● Active Type 2 · Organization Subpart

Lifesource Of North Carolina

General Practice·Rome, GA· NPI 1962940817 · Enumerated 2017 · 9 years on NPI
Lifesource Of North Carolina is 1 of 661 general practice organizations in Georgia.
NPI age
9 years
Enumerated 2017-02-10
Primary specialty
General Practice
Plus 6 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Baddour
President
Last NPPES update
2021-03-26
Source: monthly bulk 2026-05

How this organization compares

Across 661 active general practice providers in Georgia.

NPI age
9 years
↓ 5 yr below median
Practice locations
1
0 secondary on file
Subspecialties
6
In the 35% of peers with subspecialties

NPI lifetime · 2017 → 2026

2017-02Enumerated in NPPES
2017 2026

Where they practice

Primary practice location
1345 Redmond Cir Nw
Rome, GA 301651307
📞 9107429243fax 8887461787
Mailing address
Po Box 538622
Atlanta, GA 303538622
📞 9105351211

Authorized official

Peggy L Baddour
President
📞 9107779165

Individual providers at this organization

11 individual providers on file at this primary practice address.

Specialties

  • General Practice Primary
    A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
    taxonomy 208D00000X
  • Family Medicine
    Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of...
    taxonomy 207Q00000X
  • Nurse Practitioner
    (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum...
    taxonomy 363L00000X
  • Physician Assistant
    A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally...
    taxonomy 363A00000X
  • Psychiatry & Neurology
    A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders...
    taxonomy 2084P0800X
  • Psychologist
    A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles,...
    taxonomy 103T00000X
  • Social Worker
    A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be...
    taxonomy 1041C0700X

Other names on file (2)

Doing-business-as, former, and alternate names recorded by NPPES.

  • LifeSource of Georgia
    Type code 3 recorded 2018-04-23
  • LifeSource of Georgia
    Type code 3 recorded 2017-04-18

Practice context

Multi-provider organization. 11 individual providers on file at this primary address.

Subpart of Lifesource Of North Carolina.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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