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 1295633535
Surgery in Supply, NC

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

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Active since October 27, 2026

13 MEDICAL CAMPUS DR NW STE 102, SUPPLY, NC 28462(910) 754-5988(910) 754-5989 Get Directions Write a Review

NPPES record added: October 28, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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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 1295633535) is a healthcare organization registered as a surgery in Supply, 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

NPI1295633535

Entity TypeOrganization

Primary Taxonomy208600000X

Legal Business NameNOVANT HEALTH MEDICAL GROUP NC COASTAL REGION SPECIALTY, LLC

Location Address13 MEDICAL CAMPUS DR NW STE 102Supply, NC 28462-4093

Mailing AddressPo Box 604532Charlotte, NC 28260-4532

Phone(910) 754-5988

Fax(910) 754-5989

Organization SubpartNo

Authorized OfficialLeea Jeanine WaltonRcs Manager · (704) 316-6081

Enumeration DateOctober 27, 2026

Last NPPES UpdateOctober 28, 2026

NPPES CertifiedOctober 28, 2026

✔ NPI 1295633535 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

Definition

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.

13 MEDICAL CAMPUS DR NW STE 102, Supply, NC 28462

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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

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.

MS. JOAN SHELTON PHILLIPS FNPBC

Nurse Practitioner