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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 1417854332
Plastic Surgery in Bolivia, NC

Active since October 23, 2026
584 HOSPITAL DR NE UNIT D, BOLIVIA, NC 28422(910) 754-8808 Get Directions Write a Review

NPPES record added: October 23, 2026. Verified against the NPPES registry weekly; last sync: October 25, 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 1417854332), doing business as Novant Health Coastal Plastic Surgery, is a healthcare organization registered as a plastic surgery in Bolivia, 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

NPI1417854332
Entity TypeOrganization
Primary Taxonomy208200000X
Legal Business NameNOVANT HEALTH MEDICAL GROUP NC COASTAL REGION SPECIALTY, LLC
Location Address584 HOSPITAL DR NE UNIT DBolivia, NC 28422-0020
Mailing AddressPo Box 604532Charlotte, NC 28260-4532
Phone(910) 754-8808
Organization SubpartNo
Authorized OfficialLeea Jeanine WaltonRcs Manager · (704) 316-6081
Enumeration DateOctober 23, 2026
NPPES CertifiedOctober 23, 2026
✔ NPI 1417854332 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
Definition
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
584 HOSPITAL DR NE UNIT D, Bolivia, NC 28422
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Other Names 1

Doing Business AsNovant Health Coastal Plastic Surgery

Other Providers at the Same Location NPPES 4

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

LYDIA LABOCCETTA
Urology
584 HOSPITAL DR NE UNIT D
BOLIVIA, NC 28422
Brunswick County (910) 721-4150
STEVEN ERIC ROBBINS MD
Urology
584 HOSPITAL DR NE UNIT D
BOLIVIA, NC 28422
Brunswick County (910) 721-4150
ELIZABETH WARREN DESANDRE NP
Nurse Practitioner
584 HOSPITAL DR NE UNIT D
BOLIVIA, NC 28422
Brunswick County (910) 721-4150
NOVANT HEALTH MEDICAL GROUP, LLC
Urology
584 HOSPITAL DR NE UNIT D
BOLIVIA, NC 28422
Brunswick County (704) 384-4000

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 1417854332. It was assigned to this organization in the NPPES registry on October 23, 2026. The provider is doing business as Novant Health Coastal Plastic Surgery.

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

Novant Health Medical Group Nc Coastal Region Specialty, LLC is located at 584 Hospital Dr NE Unit D, Bolivia, NC 28422. The listed phone number is (910) 754-8808.

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

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

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 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.