NPIMap

Lifesource of North Carolina

A Medicare group practice based in Hoover, AL: 9 NPIs enrolled under one PECOS associate control ID (PAC ID 7416132428), with 254 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
7416132428The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Clinic/Group Practice
Enrolled in
AL, FL, GA, KY, NC, OH, SC, VA, WI
Enrollments
9
Group size
172 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
15In 14 places

Enrollment records 9

Enrollment IDStateProvider typeNPI
O20110505000743 NC Part B Supplier - Clinic/Group Practice 1811286156
O20250627002838 FL Part B Supplier - Clinic/Group Practice 1730648288
O20120801000901 SC Part B Supplier - Clinic/Group Practice 1972861789
O20170418000863 GA Part B Supplier - Clinic/Group Practice 1962940817
O20170412001175 AL Part B Supplier - Clinic/Group Practice 1821535428
O20180806000818 VA Part B Supplier - Clinic/Group Practice 1114419124
O20200212002188 OH Part B Supplier - Clinic/Group Practice 1619515277
O20210907000784 WI Part B Supplier - Clinic/Group Practice 1871135723
O20190620002144 KY Part B Supplier - Clinic/Group Practice 1538728183

NPIs in this group 9

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 254

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Clinicians who reassign their Medicare benefits to this group (251) or whom Care Compare lists as members (172).

Sources for this page