NOVANT HEALTH WOUND CARE
NPI 1164002770
Surgery in Wilmington, NC

NPI Status: Active since April 09, 2021

Contact Information

2259 S 17TH ST
WILMINGTON, NC
ZIP 28401
Phone: (910) 662-9300
Fax: (910) 662-2401

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  • Organization
  • Surgery
  • CLIA Number: 34D2137503
  • CLIA Cert. Type: Other - WOUND CARE CLINIC
  • CLIA Exp. Date: 09-27-2027

About NOVANT HEALTH WOUND CARE

This page provides the complete NPI Profile along with additional information for Novant Health Wound Care, a provider established in Wilmington, North Carolina operating as a Surgery. The healthcare provider is registered in the NPI registry with number 1164002770 assigned on April 2021. The practitioner's primary taxonomy code is 208600000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. Novant Health Wound Care operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Novant Health Wound Care. The authorized official of this NPI record is Leea Jeanine Walton (Enrollment Manager)

NPI
1164002770
Provider Legal Name
NOVANT HEALTH MEDICAL GROUP COASTAL REGION, LLC
Other Organization Name
NOVANT HEALTH WOUND CARE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
2259 S 17TH ST WILMINGTON, NC 28401
Location Phone
(910) 662-9300
Location Fax
(910) 662-2401
Mailing Address
PO BOX 936857 ATLANTA, GA 31193
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-09-2021
Last Update Date
09-13-2024
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A surgeon like Novant Health Wound Care treats injuries, diseases, and deformities through surgical operations. A surgeon could correct physical deformities, repair bone and tissue, or perform preventive or elective surgeries. Surgeons also examine patients, perform and interpret diagnostic tests, and provide counsel on preventive healthcare.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Surgery

Taxonomy Code
208600000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

LEEA JEANINE WALTON

Authorized Official Title
ENROLLMENT MANAGER
Authorized Official Phone
(336) 515-7085

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
34D2137503
Facility Type
Other - WOUND CARE CLINIC
Certificate Effective Date
September 28, 2025
Certificate Expiration Date
September 27, 2027
Laboratory Director
MARK A. VERSNICK
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Novant Health Wound Care to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1164002770, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 50. The final step is to find the difference between that total and the next multiple of ten (50 - 50 = 0).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
4
Unchanged
Pos 5
0
Doubled → 0
Pos 6
0
Unchanged
Pos 7
2
Doubled → 4
Pos 8
7
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
0
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 0 → 0 2 → 4 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 1 + 2 + 4 + 0 + 0 + 4 + 7 + 1 + 4 + 24 = 50

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 50 is 50. The difference is the calculated check digit.

50 - 50 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1164002770.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Surgery
2259 S 17TH ST
WILMINGTON, NC 28401
Preventive Medicine (Undersea and Hyperbaric Medicine)
2259 S 17TH ST
WILMINGTON, NC 28401

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1164002770, enumerated as an "organization" on April 09, 2021.

The provider is located at 2259 S 17TH ST WILMINGTON, NC 28401 and the phone number is (910) 662-9300.

Surgery with taxonomy code 208600000X.