NOVANT HEALTH MEDICAL GROUP COASTAL REGION, LLC
NPI 1306618053
Family Medicine in Wilmington, NC

Active since October 26, 2023
1423 GREENFIELD ST, WILMINGTON, NC 28401(910) 662-0761 Get Directions Write a Review

NPPES record last updated: October 26, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 16, 2023, Oct 26, 2023 (2 updates tracked since 2023).

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 1306618053), doing business as Novant Health Michael Jordan Family Medical Clinic, is a healthcare organization registered as a family medicine in Wilmington, North Carolina and active in the NPI registry since October 2023. The organization lists Leea Jeanine Walton, Enrollment Manager, as its authorized official.

NPPES Registry Identity

NPI1306618053
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameNOVANT HEALTH MEDICAL GROUP COASTAL REGION, LLC
Location Address1423 GREENFIELD STWilmington, NC 28401
Mailing AddressPo Box 936857Atlanta, GA 31193-6857 · (910) 662-0761
Organization SubpartNo
Authorized OfficialLeea Jeanine WaltonEnrollment Manager · (336) 515-7085
Enumeration DateOctober 26, 2023
Last NPPES UpdateOctober 26, 20232 updates tracked since enumeration
NPPES CertifiedOctober 24, 2023
NPI 1306618053 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1423 GREENFIELD ST, Wilmington, NC 28401

Other Names 1

Doing Business AsNovant Health Michael Jordan Family Medical 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 2

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

Family Medicine
1423 GREENFIELD ST
WILMINGTON, NC 28401
Nurse Practitioner
1423 GREENFIELD ST
WILMINGTON, NC 28401

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 1306618053. It was assigned to this organization in the NPPES registry on October 26, 2023. The provider is doing business as Novant Health Michael Jordan Family Medical Clinic.

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

Novant Health Medical Group Coastal Region, LLC is located at 1423 Greenfield St, Wilmington, NC 28401. The listed phone number is (910) 662-0761.

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

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

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 October 26, 2023. 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.