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NOVANT HEALTH PSYCHIATRIC MEDICINE
NPI 1124579750
Psychiatry & Neurology - Psychiatry in Shallotte, NC

Active since October 19, 2016
512 VILLAGE RD STE 104, SHALLOTTE, NC 28470(910) 721-4200(910) 754-3811 Get Directions Write a Review

NPPES record last updated: June 24, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 24, 2024, Jul 11, 2023, Aug 17, 2021 and 4 more (7 updates tracked since 2016).

About Novant Health Psychiatric Medicine NPPES

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

NOVANT HEALTH PSYCHIATRIC MEDICINE (NPI 1124579750) is a healthcare organization registered as a psychiatry in Shallotte, North Carolina and active in the NPI registry since October 2016. The organization maintains 2 additional practice locations and lists Leea Jeanine Walton, Rcs Manager, as its authorized official.

NPPES Registry Identity

NPI1124579750
Entity TypeOrganization
Primary Taxonomy2084P0800X
Legal Business NameNOVANT HEALTH MEDICAL GROUP, LLC
Location Address512 VILLAGE RD STE 104Shallotte, NC 28470-3409
Mailing AddressPo Box 60447Charlotte, NC 28260-0447 · (910) 721-4200 · Fax (910) 721-4209
Phone(910) 721-4200
Fax(910) 754-3811
Organization SubpartNo
Authorized OfficialLeea Jeanine WaltonRcs Manager · (704) 316-6081
Enumeration DateOctober 19, 2016
Last NPPES UpdateJune 24, 20247 updates tracked since enumeration
NPPES CertifiedJune 24, 2024
✔ NPI 1124579750 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedPsychologistTaxonomy 103T00000X
512 VILLAGE RD STE 104, Shallotte, NC 28470
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Other Names 1

Doing Business AsNovant Health Psychiatric Medicine

Secondary Practice Locations 2

Location 1204 Smith AveShallotte, NC 28470-4458 · Phone (910) 721-4200 · Fax (910) 721-4209
Location 2584 Hospital Dr NE, Suite ABolivia, NC 28422-0019 · Phone (704) 316-7585 · Fax (704) 338-6422

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE 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 3

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
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, LLC's NPI number?

The NPI number for Novant Health Medical Group, LLC is 1124579750. It was assigned to this organization in the NPPES registry on October 19, 2016. The provider is doing business as Novant Health Psychiatric Medicine.

Where is Novant Health Medical Group, LLC located?

Novant Health Medical Group, 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, 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, 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, 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, LLC was last updated on June 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.