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: August 09, 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
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

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

Other Providers at the Same Location NPPES 5

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

Student in an Organized Health Care Education/Training Program
416 N 30TH ST
WILMINGTON, NC 28405
Nurse Practitioner (Family)
416 N 30TH ST
WILMINGTON, NC 28405
Student in an Organized Health Care Education/Training Program
416 N 30TH ST
WILMINGTON, NC 28405
Psychiatry & Neurology (Psychiatry)
416 N 30TH ST
WILMINGTON, NC 28405
Family Medicine
416 N 30TH ST
WILMINGTON, NC 28405

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.

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

Health plans from 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 May 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.