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NOVANT HEALTH MEDICAL GROUP COASTAL REGION, LLC
NPI 1063203941
Psychiatry & Neurology - Psychiatry in Wilmington, NC

Active since May 13, 2025
416 N 30TH ST, WILMINGTON, NC 28405(910) 667-7000(910) 815-5850 Get Directions Write a Review

NPPES record last updated: May 13, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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 1063203941), doing business as Novant Health Psychiatry Residency Clinic, is a healthcare organization registered as a psychiatry in Wilmington, North Carolina and active in the NPI registry since May 2025. The organization lists Leea Jeanine Walton, Enrollment Manager, as its authorized official.

NPPES Registry Identity

NPI1063203941
Entity TypeOrganization
Primary Taxonomy2084P0800X
Legal Business NameNOVANT HEALTH MEDICAL GROUP COASTAL REGION, LLC
Location Address416 N 30TH STWilmington, NC 28405-3158
Mailing AddressPo Box 936857Atlanta, GA 31193-6857
Phone(910) 667-7000
Fax(910) 815-5850
Organization SubpartNo
Authorized OfficialLeea Jeanine WaltonEnrollment Manager · (336) 515-7085
Enumeration DateMay 13, 2025
NPPES CertifiedMay 13, 2025
✔ NPI 1063203941 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.
416 N 30TH ST, Wilmington, NC 28405
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Other Names 1

Doing Business AsNovant Health Psychiatry Residency Clinic

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 Blue Cross and Blue Shield of NC.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, 2 practice at this address and 475 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
Jasmin Carey
Nurse Practitioner
NPI 1487382636
416 N 30TH ST
Wilmington, NC 28405
(910) 833-9140
✔ PECOS✔ Accepts MedicareSame address
Shelby Stoneking, MD
Family Practice
NPI 1992382600
416 N 30TH ST
Wilmington, NC 28405
(910) 833-9140
✔ PECOS✔ Accepts MedicareSame address
Rachel March, LCSW
Clinical Social Worker
NPI 1275889602
3133 WRIGHTSVILLE AVE
Wilmington, NC 28403
(252) 340-1888
✔ PECOS✔ Accepts Medicare1.3 mi
Lois Iiams, FNP-C
Nurse Practitioner
NPI 1982037172
1423 GREENFIELD ST
Wilmington, NC 28401
(910) 833-9100
✔ PECOS✔ Accepts Medicare2.2 mi
Emilia Parrott
Family Practice
NPI 1114272473
1423 GREENFIELD STREET
Wilmington, NC 28401
(910) 833-9100
✔ PECOS✔ Accepts Medicare2.2 mi
Somya Navejar, DO
Obstetrics/Gynecology
NPI 1083909493
1650 GREENFIELD ST
Wilmington, NC 28401
(910) 798-3500
✔ PECOS✔ Accepts Medicare2.2 mi
Elizabeth Acquista, MD
General Surgery
NPI 1639353022
1725 NEW HANOVER MEDICAL PARK DR
Wilmington, NC 28403
(910) 662-9300
✔ PECOS✔ Accepts Medicare2.3 mi
Martin Butler, MD
Internal Medicine
NPI 1437188737
1725 NEW HANOVER MEDICAL PARK DR
Wilmington, NC 28403
(910) 662-9300
✔ PECOS✔ Accepts Medicare2.3 mi
Sean Godfrey, D.O.
Endocrinology
NPI 1437680238
1725 NEW HANOVER MEDICAL PARK DR
Wilmington, NC 28403
(910) 662-9300
✔ PECOS✔ Accepts Medicare2.3 mi
Todd Goldberg, M.D.
Geriatric Medicine
NPI 1639122492
1725 NEW HANOVER MEDICAL PARK DR
Wilmington, NC 28403
(910) 662-9300
✔ PECOS✔ Accepts Medicare2.3 mi
Hisham Hatoum, MD, DDS
Oral Surgery
NPI 1427372879
1725 NEW HANOVER MEDICAL PARK DR
Wilmington, NC 28403
(910) 662-9331
✔ PECOS✔ Accepts Medicare2.3 mi
Luther Holton, MD
Plastic and Reconstructive Surgery
NPI 1861517625
1725 NEW HANOVER MEDICAL PARK DR
Wilmington, NC 28403
(910) 662-9331
✔ PECOS✔ Accepts Medicare2.3 mi
Sean Nassoiy, D.O.
Surgical Oncology
NPI 1902148265
1725 NEW HANOVER MEDICAL PARK DR
Wilmington, NC 28403
(910) 662-9300
✔ PECOS✔ Accepts Medicare2.3 mi
Timothy Novosel, MD
Critical Care (Intensivists)
NPI 1518072156
1725 NEW HANOVER MEDICAL PARK DR
Wilmington, NC 28403
(910) 662-9300
✔ PECOS✔ Accepts Medicare2.3 mi
Jonathan Pan, M.D.
Infectious Disease
NPI 1831576255
1725 NEW HANOVER MEDICAL PARK DR
Wilmington, NC 28403
(910) 662-9300
✔ PECOS✔ Accepts Medicare2.3 mi
Autumn Pavuk, MS, RDN, LDN
Registered Dietitian or Nutrition Professional
NPI 1124904693
1725 NEW HANOVER MEDICAL PARK DR
Wilmington, NC 28403
(901) 662-9300
✔ Accepts Medicare2.3 mi
Ashli Gibson, CNM, PMHNP
Certified Nurse Midwife (CNM)
NPI 1437688207
1721 NEW HANOVER MEDICAL PARK DR
Wilmington, NC 28403
(910) 726-9976
✔ PECOS✔ Accepts Medicare2.3 mi
Nicole Belko, MD
Urology
NPI 1710484423
1814 NEW HANOVER MEDICAL PARK DR
Wilmington, NC 28403
(910) 662-8765
✔ PECOS✔ Accepts Medicare2.5 mi
Lora Pacaldo, MD
Psychiatry
NPI 1346440369
2131 S 17TH ST
Wilmington, NC 28401
(910) 815-5830
✔ PECOS✔ Accepts Medicare2.7 mi
Robert Cortina, MD
Thoracic Surgery
NPI 1952371890
1912 TRADD CT
Wilmington, NC 28401
(910) 251-3766
✔ PECOS✔ Accepts Medicare2.7 mi
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 1063203941. It was assigned to this organization in the NPPES registry on May 13, 2025. The provider is doing business as Novant Health Psychiatry Residency Clinic.

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

Novant Health Medical Group Coastal Region, LLC is located at 416 N 30th St, Wilmington, NC 28405. The listed phone number is (910) 667-7000.

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

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

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, 2 practice at this address and 475 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 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 May 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.