General Practice
LIFESOURCE OF NORTH CAROLINA
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1386144418 · enumerated 2018-02-15 · record updated 2021-03-25. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: PEGGY BADDOUR, President/Owner · (910) 777-9165
Addresses and phones
- Practice location 1208 E PERSHING BLVD, CHEYENNE, WY, 82001-3230 (910) 742-9243 Fax (888) 746-1787 Google Maps Apple Maps OpenStreetMap
- Mailing address PO BOX 538622, ATLANTA, GA, 30353-8622 (910) 742-9243 Fax (888) 746-1787 Google Maps Apple Maps OpenStreetMap
Specialties
- Psychologist, Clinical 103TC0700X
- Social Worker, Clinical 1041C0700X
- Family Medicine 207Q00000X
- Psychiatry & Neurology, Psychiatry 2084P0800X
- Physician Assistant 363A00000X
- Nurse Practitioner 363L00000X
- General Practice 208D00000X · Primary
In this directory
Locations and evidence
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Practice location
CHEYENNE, WY, 820013230
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.