NOVANT HEALTH MEDICAL GROUP COASTAL REGION, LLC
NPI 1477282572
Internal Medicine - Pulmonary Disease in Shallotte, NC

Active since June 06, 2022
512 VILLAGE RD STE 101, SHALLOTTE, NC 28470(910) 721-4390(910) 721-4399 Get Directions Write a Review

NPPES record last updated: June 6, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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 1477282572), doing business as Novant Health Pulmonary & Sleep Medicine, is a healthcare organization registered as a pulmonary disease in Shallotte, North Carolina and active in the NPI registry since June 2022. The organization lists Shala Davis, Enrollment Director, as its authorized official.

NPPES Registry Identity

NPI1477282572
Entity TypeOrganization
Primary Taxonomy207RP1001X
Legal Business NameNOVANT HEALTH MEDICAL GROUP COASTAL REGION, LLC
Location Address512 VILLAGE RD STE 101Shallotte, NC 28470-3420
Mailing AddressPo Box 936857Atlanta, GA 31193-6857 · (910) 721-4390 · Fax (910) 721-4399
Fax(910) 721-4399
Organization SubpartNo
Authorized OfficialShala DavisEnrollment Director · (704) 303-7517
Enumeration DateJune 6, 2022
NPPES CertifiedJune 6, 2022
✔ NPI 1477282572 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
512 VILLAGE RD STE 101, Shallotte, NC 28470

Other Names 1

Doing Business AsNovant Health Pulmonary & Sleep Medicine

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

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Novant Health Medical Group Coastal Region, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateNorth CarolinaEnrollment IDO20210408000285Non-DME Part B · Clinic/Group PracticeDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

710

Medicare enrollment records show 710 clinicians reassign Medicare billing to Novant Health Medical Group Coastal Region, LLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 16 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 47

Nurse Practitioner191
Hospitalist87
Family Practice56
Internal Medicine50
Neurology43
Cardiovascular Disease (Cardiology)30
Obstetrics/Gynecology28
Gastroenterology24
39 other specialties201

Nearest to this location (20)

See all 710
Pulmonary Disease
NPI 1043209596
512 VILLAGE RD STE 101
Shallotte, NC 28470
(910) 721-4390
✔ PECOS✔ Accepts MedicareSame address
Pulmonary Disease
NPI 1124005897
512 VILLAGE RD STE 101
Shallotte, NC 28470
(910) 721-4390
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1104543545
512 VILLAGE RD STE 207
Shallotte, NC 28470
(910) 662-7500
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1477551844
257 HOSPITAL DR STE 201
Bolivia, NC 28422
(910) 662-9500
✔ PECOS✔ Accepts Medicare9.0 mi
Nurse Practitioner
NPI 1477551760
257 HOSPITAL DR STE 201
Bollivia, NC 28422
(910) 662-9500
✔ PECOS✔ Accepts Medicare9.0 mi
Nurse Practitioner
NPI 1184062564
257 HOSPITAL DR NE STE 201
Bolivia, NC 28422
(910) 662-9500
✔ PECOS✔ Accepts Medicare9.2 mi
Hospitalist
NPI 1881772309
240 HOSPITAL DR NE
Bolivia, NC 28422
(910) 721-2070
✔ PECOS✔ Accepts Medicare9.2 mi
Nurse Practitioner
NPI 1679106413
240 HOSPITAL DR NE
Bolivia, NC 28422
(910) 721-1000
✔ PECOS✔ Accepts Medicare9.2 mi
Hospitalist
NPI 1780812867
240 HOSPITAL DR NE
Bolivia, NC 28422
(910) 721-2070
✔ PECOS✔ Accepts Medicare9.2 mi
Hospitalist
NPI 1689369100
240 HOSPITAL DR NE
Bolivia, NC 28422
(910) 721-1000
✔ PECOS✔ Accepts Medicare9.2 mi
Gastroenterology
NPI 1285637108
240 HOSPITAL DR NE
Bolivia, NC 28422
(252) 527-6565
✔ PECOS✔ Accepts Medicare9.2 mi
Nurse Practitioner
NPI 1629008149
584 HOSPITAL DR NE STE. B
Bolivia, NC 28422
(910) 721-4050
✔ PECOS✔ Accepts Medicare9.2 mi
Cardiovascular Disease (Cardiology)
NPI 1861401606
584 HOSPITAL DR NE
Bolivia, NC 28422
(910) 662-9500
✔ PECOS✔ Accepts Medicare9.3 mi
Nurse Practitioner
NPI 1538366257
584 HOSPITAL DR NE UNIT E
Bolivia, NC 28422
(910) 662-9500
✔ PECOS✔ Accepts Medicare9.3 mi
Cardiovascular Disease (Cardiology)
NPI 1235106683
584 HOSPITAL DR NE
Bolivia, NC 28422
(910) 662-9500
✔ PECOS✔ Accepts Medicare9.3 mi
Obstetrics/Gynecology
NPI 1902125131
584 HOSPITAL DR NE SUITE B
Bolivia, NC 28422
(910) 721-4050
✔ PECOS✔ Accepts Medicare9.3 mi
Internal Medicine
NPI 1679508386
75 EMERSON BAY RD STE 102
Carolina Shores, NC 28467
(910) 579-8363
✔ PECOS✔ Accepts Medicare11 mi
Internal Medicine
NPI 1962664284
924 N HOWE ST
Southport, NC 28461
(910) 457-3910
✔ PECOS✔ Accepts Medicare22 mi
Nurse Practitioner
NPI 1194266023
924 N HOWE ST
Southport, NC 28461
(910) 457-3800
✔ PECOS✔ Accepts Medicare22 mi
Nurse Practitioner
NPI 1528532397
1333 S DICKINSON DR UNIT 230
Leland, NC 28451
(910) 662-8550
✔ PECOS✔ Accepts Medicare26 mi
See all 710 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 1477282572. It was assigned to this organization in the NPPES registry on June 6, 2022. The provider is doing business as Novant Health Pulmonary & Sleep Medicine.

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

Novant Health Medical Group Coastal Region, LLC is located at 512 Village Rd Ste 101, Shallotte, NC 28470. The listed phone number is (910) 721-4390.

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

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Novant Health Medical Group Coastal Region, LLC enrolled in Medicare?

Yes. Novant Health Medical Group Coastal Region, LLC is registered in the Medicare PECOS enrollment system.

When is Novant Health Medical Group Coastal Region, LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (North Carolina, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Novant Health Medical Group Coastal Region, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 710 clinicians in 47 Medicare specialties reassign their Medicare billing to Novant Health Medical Group Coastal Region, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (191), Hospitalist (87) and Family Practice (56). Of these, 3 practice at this address and 16 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Novant Health Medical Group Coastal Region, LLC accept?

Health plans from Ambetter Health, 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 June 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.