NOVANT HEALTH MEDICAL GROUP COASTAL REGION, LLC
NPI 1053997346
Psychiatry & Neurology - Neurology in Wilmington, NC

Active since March 18, 2021
1509 DOCTORS CIR BLDG C, WILMINGTON, NC 28401(910) 662-7500(910) 662-7501 Get Directions Write a Review

NPPES record last updated: September 8, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 8, 2025, Nov 21, 2024, Jul 19, 2021 and 3 more (6 updates tracked since 2021).

About Novant Health Medical Group Coastal Region, Llc NPPES

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

NOVANT HEALTH MEDICAL GROUP COASTAL REGION, LLC (NPI 1053997346), doing business as Nhrmc Pg Neurology, is a healthcare organization registered as a neurology in Wilmington, North Carolina and active in the NPI registry since March 2021. The organization maintains 3 additional practice locations and lists Shala Davis, Rcs Manager, as its authorized official.

NPPES Registry Identity

NPI1053997346
Entity TypeOrganization
Primary Taxonomy2084N0400X
Legal Business NameNOVANT HEALTH MEDICAL GROUP COASTAL REGION, LLC
Location Address1509 DOCTORS CIR BLDG CWilmington, NC 28401-7403
Mailing AddressPo Box 936857Atlanta, GA 31193-6857
Fax(910) 662-7501
Organization SubpartNo
Authorized OfficialShala DavisRcs Manager · (704) 303-7517
Enumeration DateMarch 18, 2021
Last NPPES UpdateSeptember 8, 20256 updates tracked since enumeration
NPPES CertifiedSeptember 8, 2025
✔ NPI 1053997346 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
1509 DOCTORS CIR BLDG C, Wilmington, NC 28401

Other Names 1

Doing Business AsNhrmc Pg Neurology

Secondary Practice Locations 3

Location 12221 S 17th StWilmington, NC 28401-7542 · Phone (910) 662-7500 · Fax (910) 662-7501
Location 2109 Scotts Hill Medical Drive, Ste 204Wilmington, NC 28411 · Phone (910) 662-7500 · Fax (910) 662-7501
Location 31515 Doctors Cir Bldg AWilmington, NC 28401-7403 · Phone (910) 662-7500 · Fax (910) 662-7501

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

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Novant Health Medical Group Coastal Region, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateNorth CarolinaEnrollment IDO20210408000285Non-DME Part B · Clinic/Group PracticeDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

710

Medicare enrollment records show 710 clinicians reassign Medicare billing to Novant Health Medical Group Coastal Region, LLC, which bills Medicare for the services they deliver. Of these, 32 practice at this address and 466 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 47

Nurse Practitioner191
Hospitalist87
Family Practice56
Internal Medicine50
Neurology43
Cardiovascular Disease (Cardiology)30
Obstetrics/Gynecology28
Gastroenterology24
39 other specialties201

Nearest to this location (20)

See all 710
Neurology
NPI 1124349154
1509 DOCTORS CIR BLDG C
Wilmington, NC 28401
(910) 662-7500
✔ PECOS✔ Accepts MedicareSame address
Qualified Speech Language Pathologist
NPI 1336005792
1509 DOCTORS CIR BLDG C
Wilmington, NC 28401
(910) 662-7500
Same address
Nurse Practitioner
NPI 1366921173
1509 DOCTORS CIR BLDG C
Wilmington, NC 28401
(910) 662-7500
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1659641942
1509 DOCTORS CIR BLDG C
Wilmington, NC 28401
(910) 662-7500
✔ PECOS✔ Accepts MedicareSame address
Registered Dietitian or Nutrition Professional
NPI 1083306674
1509 DOCTORS CIR
Wilmington, NC 28401
(910) 662-7500
Same address
Nurse Practitioner
NPI 1548963960
1509 DOCTORS CIR BLDG C
Wilmington, NC 28401
(910) 662-7500
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1972954196
1509 DOCTORS CIR BLDG C
Wilmington, NC 28401
(910) 662-7500
✔ PECOS✔ Accepts MedicareSame address
Neurology
NPI 1063733517
1509 DOCTORS CIR BLDG C
Wilmington, NC 28401
(910) 662-7500
✔ PECOS✔ Accepts MedicareSame address
Neurology
NPI 1861854325
1509 DOCTORS CIR BLDG C
Wilmington, NC 28401
(910) 662-7500
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1578035218
1509 DOCTORS CIR BLDG C
Wilmington, NC 28401
(910) 662-7500
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1437768256
1509 DOCTORS CIR BLDG C
Wilmington, NC 28401
(910) 662-7500
✔ PECOS✔ Accepts MedicareSame address
Neurology
NPI 1578882593
1509 DOCTORS CIR BLDG C
Wilmington, NC 28401
(910) 662-7500
✔ PECOS✔ Accepts MedicareSame address
Neurology
NPI 1831620129
1509 DOCTORS CIR BLDG C
Wilmington, NC 28401
(910) 662-7500
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1093483307
1509 DOCTORS CIR BLDG C
Wilmington, NC 28401
(910) 662-7500
✔ PECOS✔ Accepts MedicareSame address
Neurology
NPI 1467039651
1509 DOCTORS CIR BLDG C
Wilmington, NC 28401
(910) 662-7500
✔ PECOS✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1902762651
1509 DOCTORS CIR BLDG C
Wilmington, NC 28401
(910) 662-7500
Same address
Rheumatology
NPI 1730380239
1509 DOCTORS CIR BLDG C
Wilmington, NC 28401
(910) 662-7550
✔ PECOS✔ Accepts MedicareSame address
Clinical Psychologist
NPI 1558082297
1509 DOCTORS CIR BLDG C
Wilmington, NC 28401
(910) 662-7500
✔ PECOS✔ Accepts MedicareSame address
Rheumatology
NPI 1366867269
1509 DOCTORS CIR BLDG C
Wilmington, NC 28401
(910) 662-7550
✔ PECOS✔ Accepts MedicareSame address
Clinical Psychologist
NPI 1891347977
1509 DOCTORS CIR BLDG C
Wilmington, NC 28401
(910) 662-7500
✔ PECOS✔ Accepts MedicareSame address
See all 710 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Coastal Region, LLC's NPI number?

The NPI number for Novant Health Medical Group Coastal Region, LLC is 1053997346. It was assigned to this organization in the NPPES registry on March 18, 2021. The provider is doing business as NHRMC PG Neurology.

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

Novant Health Medical Group Coastal Region, LLC is located at 1509 Doctors Cir Bldg C, Wilmington, NC 28401. The listed phone number is (910) 662-7500.

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

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Novant Health Medical Group Coastal Region, LLC enrolled in Medicare?

Yes. Novant Health Medical Group Coastal Region, LLC is registered in the Medicare PECOS enrollment system.

When is Novant Health Medical Group Coastal Region, LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (North Carolina, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Novant Health Medical Group Coastal Region, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 710 clinicians in 47 Medicare specialties reassign their Medicare billing to Novant Health Medical Group Coastal Region, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (191), Hospitalist (87) and Family Practice (56). Of these, 32 practice at this address and 466 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Novant Health Medical Group Coastal Region, LLC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC list Novant Health Medical Group Coastal Region, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Novant Health Medical Group Coastal Region, LLC was last updated on September 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.