Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

NOVANT HEALTH MEDICAL GROUP NC COASTAL REGION SPECIALTY, LLC
NPI 1124922539
Obstetrics & Gynecology - Gynecologic Oncology in Carolina Shores, NC

Active since October 07, 2026
75 EMERSON BAY RD STE 104, CAROLINA SHORES, NC 28467(910) 667-3000(910) 338-0965 Get Directions Write a Review

NPPES record added: October 7, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

About Novant Health Medical Group Nc Coastal Region Specialty, Llc NPPES

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

NOVANT HEALTH MEDICAL GROUP NC COASTAL REGION SPECIALTY, LLC (NPI 1124922539), doing business as Novant Health Cancer Institute, is a healthcare organization registered as a gynecologic oncology in Carolina Shores, North Carolina and active in the NPI registry since October 2026. The organization lists Leea Jeanine Walton, Rcs Manager, as its authorized official.

NPPES Registry Identity

NPI1124922539
Entity TypeOrganization
Primary Taxonomy207VX0201X
Legal Business NameNOVANT HEALTH MEDICAL GROUP NC COASTAL REGION SPECIALTY, LLC
Location Address75 EMERSON BAY RD STE 104Carolina Shores, NC 28467-2498
Mailing AddressPo Box 604532Charlotte, NC 28260-4532
Fax(910) 338-0965
Organization SubpartNo
Authorized OfficialLeea Jeanine WaltonRcs Manager · (336) 515-7085
Enumeration DateOctober 7, 2026
NPPES CertifiedOctober 7, 2026
✔ NPI 1124922539 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.
75 EMERSON BAY RD STE 104, Carolina Shores, NC 28467

Other Names 1

Doing Business AsNovant Health Cancer Institute

Other Providers at the Same Location NPPES 2

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

Internal Medicine (Hematology & Oncology)
75 EMERSON BAY RD STE 104
CAROLINA SHORES, NC 28467
Internal Medicine (Hematology & Oncology)
75 EMERSON BAY RD STE 104
CAROLINA SHORES, NC 28467

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 Nc Coastal Region Specialty, LLC's NPI number?

The NPI number for Novant Health Medical Group Nc Coastal Region Specialty, LLC is 1124922539. It was assigned to this organization in the NPPES registry on October 7, 2026. The provider is doing business as Novant Health Cancer Institute.

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

Novant Health Medical Group Nc Coastal Region Specialty, LLC is located at 75 Emerson Bay Rd Ste 104, Carolina Shores, NC 28467. The listed phone number is (910) 667-3000.

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

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

When was this NPI record last updated?

The NPPES record for Novant Health Medical Group Nc Coastal Region Specialty, LLC was last updated on October 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 days 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.