Lifesource Prime INC in Clinton, SC
This location of Lifesource Prime bills under NPI 1851143523, an organization record issued on Apr 4, 2024 with the primary taxonomy Family Medicine Physician. It is one of 4 NPIs registered under this name; each clinician who sees you there has their own NPI and license.
- Legal name
- Lifesource Prime INC
- Entity
- Type 2 · organization
- Primary taxonomy
- Family Medicine Physician 207Q00000X
- Practice location
- 939 SPRINGDALE DR, Clinton, SC 29325
- Phone
- 910-742-9243
- Mailing address
- Atlanta, GA
- Enumerated
- Apr 4, 2024
- Record updated
- Oct 28, 2025
- Authorized official
- President/Owner (title as filed)
8 clinicians CMS lists with Lifesource Prime in Clinton
- Monica Denoux, FNP, APRNFamily Nurse Practitioner1003259235
- Mark Giarrizzi, PACPhysician Assistant1376558007
- Elizabeth Hinz, APRNFamily Nurse Practitioner1699181230
- Michael Jones, FNP-CFamily Nurse Practitioner1568950426
- Nita KarkiPsychiatric/Mental Health Nurse Practitioner1932975141
- Brandy Kennedy, NDFamily Nurse Practitioner1578532040
- Melanie Morrison, PMHNP-BCNurse Practitioner1992348395
- Denita Waltower, APRNPsychiatric/Mental Health Nurse Practitioner1720750847
Source: CMS Doctors and Clinicians group affiliations, matched by practice name and city.
Every location registered under this name, in 4 cities.
See every locationChecking an organization
- Confirm the business with the South Carolina secretary of state.
- Check the HHS-OIG exclusion list for the organization.
- Verify each clinician on their own record and the state license search.
All taxonomies on this record
- 207Q00000X Family Medicine Physician
- 207R00000X Internal Medicine Physician
- 208D00000X General Practice Physician
- 363A00000X Physician Assistant
- 363L00000X Nurse Practitioner
- 363LF0000X Family Nurse Practitioner
- 363LG0600X Gerontology Nurse Practitioner
- 363LP2300X Primary Care Nurse Practitioner
Common questions
Why is the mailing address in Georgia?
The mailing address in the record (Atlanta, GA) is where the organization receives mail. Care is given at the practice location in Clinton.
Is an organization NPI a license?
No. An NPI identifies who bills. Facilities and the clinicians who work there are licensed separately by the state.
Source: CMS National Plan and Provider Enumeration System (NPPES), monthly file of Aug 9, 2026 (NPPES files on CMS.gov). An NPI identifies who bills; it is not a license.