Lifesource Prime INC in Wilmington, NC
This location of Lifesource Prime bills under NPI 1598533275, an organization record issued on Dec 13, 2023 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
- 3205 RANDALL PKWY STE 105, Wilmington, NC 28403
- Phone
- 910-742-9243
- Mailing address
- Atlanta, GA
- Enumerated
- Dec 13, 2023
- Record updated
- Oct 28, 2025
- Authorized official
- Ceo (title as filed)
20 clinicians CMS lists with Lifesource Prime in Wilmington
- Aniekan Akpan, APRN, PMHNPPsychiatric/Mental Health Nurse Practitioner1396618450
- Ishan Bhansaly, MDFamily Medicine Physician1972824357
- Shannon Blake, PAPhysician Assistant1578509238
- Megan Blankenship, FNPFamily Nurse Practitioner1366969834
- Patricia BrothersFamily Nurse Practitioner1871149856
- Chacey Bryan, MDGeneral Practice Physician1699228734
- Linda Cappiello, NURSE PRACTITIONERNurse Practitioner1174633457
- Brandy Clark, PMHNP-BCPsychiatric/Mental Health Nurse Practitioner1902405095
- Cherise Dailey, NPNurse Practitioner1396445854
- July Damour, PA-CPhysician Assistant1851470215
- Lauren Drapiza, PAPhysician Assistant1316401243
- Jared Edmonds, PMHNPPsychiatric/Mental Health Nurse Practitioner1245040567
- Maher Elharake, MDInternal Medicine Physician1598296956
- Megan Giere, PA-CPhysician Assistant1790077071
- Megan Grady, PA-CPhysician Assistant1447595608
- Shannon Green, APRNNurse Practitioner1992772073
- Jacqueline Griffin, FNP-CNurse Practitioner1114583630
- Felicia Harrell, AGPCNP-BCNurse Practitioner1497130306
- William Holder, (MD,Internal Medicine Physician1316168602
- Cynthia Honeycutt, ANP-BCNurse Practitioner1528215407
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 North 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.
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 Wilmington.
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.