Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

NOVANT HEALTH MEDICAL GROUP NC COASTAL REGION SPECIALTY, LLC
NPI 1013821412
Psychiatry & Neurology - Psychiatry in Shallotte, NC

Q: What is Novant Health Medical Group Nc Coastal Region Specialty, LLC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Active since October 01, 2026

512 VILLAGE RD STE 104, SHALLOTTE, NC 28470(910) 721-4200(910) 754-3811 Get Directions Write a Review

NPPES record added: October 1, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Novant Health Medical Group Nc Coastal Region Specialty, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NOVANT HEALTH MEDICAL GROUP NC COASTAL REGION SPECIALTY, LLC (NPI 1013821412), doing business as Novant Health Psychiatric Medicine, is a healthcare organization registered as a psychiatry in Shallotte, North Carolina and active in the NPI registry since October 2026. The organization lists Leea Jeanine Walton, Rcs Manager, as its authorized official.

NPPES Registry Identity

NPI1013821412

Entity TypeOrganization

Primary Taxonomy2084P0800X

Legal Business NameNOVANT HEALTH MEDICAL GROUP NC COASTAL REGION SPECIALTY, LLC

Location Address512 VILLAGE RD STE 104Shallotte, NC 28470-3409

Mailing AddressPo Box 604532Charlotte, NC 28260-4532

Phone(910) 721-4200

Fax(910) 754-3811

Organization SubpartNo

Authorized OfficialLeea Jeanine WaltonRcs Manager · (704) 316-6081

Enumeration DateOctober 1, 2026

NPPES CertifiedOctober 1, 2026

✔ NPI 1013821412 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

Definition

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 and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

512 VILLAGE RD STE 104, Shallotte, NC 28470

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Other Names 1

Doing Business AsNovant Health Psychiatric Medicine

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HEATHER SHANNON STOUME STOUME MSW, LCSW, LCAS,

Social Worker (Clinical)

512 VILLAGE RD STE 104
SHALLOTTE, NC 28470

Brunswick County (910) 721-4200

NOVANT HEALTH MEDICAL GROUP, LLC

Psychiatry & Neurology (Psychiatry)

512 VILLAGE RD STE 104
SHALLOTTE, NC 28470

Brunswick County (910) 721-4200

MARLON ANTHONY GRAHAM MD

Psychiatry & Neurology (Psychiatry)

512 VILLAGE RD STE 104
SHALLOTTE, NC 28470

Brunswick County (910) 721-4200

TANYA FAYE BUSH APRN

Nurse Practitioner

512 VILLAGE RD STE 104
SHALLOTTE, NC 28470

Brunswick County (910) 721-4200

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Novant Health Medical Group Nc Coastal Region Specialty, LLC's NPI number?

The NPI number for Novant Health Medical Group Nc Coastal Region Specialty, LLC is 1013821412. It was assigned to this organization in the NPPES registry on October 1, 2026. The provider is doing business as Novant Health Psychiatric Medicine.

Where is Novant Health Medical Group Nc Coastal Region Specialty, LLC located?

Novant Health Medical Group Nc Coastal Region Specialty, LLC is located at 512 Village Rd Ste 104, Shallotte, NC 28470. The listed phone number is (910) 721-4200.

What is Novant Health Medical Group Nc Coastal Region Specialty, LLC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

When was this NPI record last updated?

The NPPES record for Novant Health Medical Group Nc Coastal Region Specialty, LLC was last updated on October 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.