NHMGCR GYN ONC
NPI 1053906115
Obstetrics & Gynecology - Gynecologic Oncology in Wilmington, NC

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

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecologic Oncology, with taxonomy code 207VX0201X.

Active since March 01, 2021

2131 S 17TH ST, WILMINGTON, NC 28401(910) 667-5830 Get Directions Write a Review

NPPES record last updated: July 19, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 19, 2021, Jun 22, 2021, Mar 1, 2021 (3 updates tracked since 2021).

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About Nhmgcr Gyn Onc NPPES

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

NHMGCR GYN ONC (NPI 1053906115) is a healthcare organization registered as a gynecologic oncology in Wilmington, North Carolina and active in the NPI registry since March 2021. The organization lists Shala Davis, Rcs Manager, as its authorized official.

NPPES Registry Identity

NPI1053906115

Entity TypeOrganization

Primary Taxonomy207VX0201X

Legal Business NameNOVANT HEALTH MEDICAL GROUP COASTAL REGION, LLC

Location Address2131 S 17TH STWilmington, NC 28401-7407

Mailing AddressPo Box 936857Atlanta, GA 31193-6857

Phone(910) 667-5830

Organization SubpartNo

Authorized OfficialShala DavisRcs Manager · (704) 303-7517

Enumeration DateMarch 1, 2021

Last NPPES UpdateJuly 19, 20213 updates tracked since enumeration

NPPES CertifiedJuly 19, 2021

✔ NPI 1053906115 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · Gynecologic OncologyAllopathic & Osteopathic Physicians

Taxonomy Code207VX0201X

Definition

An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications.

2131 S 17TH ST, Wilmington, NC 28401

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Other Names 1

Doing Business AsNhmgcr Gyn Onc

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and more.Insurance ›

Other Providers at the Same Location NPPES 20

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

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