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NOVANT HEALTH OCEANSIDE FAMILY MEDICINE & CONVENIENT CARE
NPI 1710051123
Family Medicine in Shallotte, NC

Active since November 17, 2006
5145 SELLERS RD, SUITE A, SHALLOTTE, NC 28470(910) 754-4441(910) 754-5307 Get Directions Write a Review

NPPES record last updated: July 9, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 9, 2024, Jul 11, 2023, Aug 18, 2021 (3 updates tracked since 2021).

About Novant Health Oceanside Family Medicine & Convenient Care NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NOVANT HEALTH OCEANSIDE FAMILY MEDICINE & CONVENIENT CARE (NPI 1710051123) is a healthcare organization registered as a family medicine in Shallotte, North Carolina and active in the NPI registry since November 2006. The organization lists Leea Jeanine Walton, Rcs Manager, as its authorized official.

NPPES Registry Identity

NPI1710051123
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameNOVANT HEALTH MEDICAL GROUP, LLC
Location Address5145 SELLERS RD, SUITE AShallotte, NC 28470-3405
Mailing AddressPo Box 60447Charlotte, NC 28260-0447 · (910) 754-4441
Phone(910) 754-4441
Fax(910) 754-5307
Organization SubpartNo
Authorized OfficialLeea Jeanine WaltonRcs Manager · (704) 316-6081
Enumeration DateNovember 17, 2006
Last NPPES UpdateJuly 9, 20243 updates tracked since enumeration
NPPES CertifiedJuly 9, 2024
✔ NPI 1710051123 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.
5145 SELLERS RD, Shallotte, NC 28470
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Other Names 1

Doing Business AsNovant Health Oceanside Family Medicine & Convenient Care

Other Identifiers 2

Other018N9NC · Bcbs Nc
Medicaid5905786NC

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

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina and more.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 Oceanside Family Medicine & Convenient Care is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 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 IDO20040204001028Non-DME Part B · Clinic/Group PracticeDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

561

Medicare enrollment records show 561 clinicians reassign Medicare billing to Novant Health Oceanside Family Medicine & Convenient Care, which bills Medicare for the services they deliver. Of these, 14 practice at this address and 20 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 23

Obstetrics/Gynecology131
Nurse Practitioner106
Family Practice87
Cardiovascular Disease (Cardiology)78
Certified Nurse Midwife (CNM)40
Internal Medicine21
Interventional Cardiology18
Pediatric Medicine18
15 other specialties62

Nearest to this location (20)

See all 561
Mary Bowers, FNP
Nurse Practitioner
NPI 1073083119
5145 SELLERS RD
Shallotte, NC 28470
(910) 754-4441
✔ PECOS✔ Accepts MedicareSame address
Jennifer Cully, MSN FNP-C
Nurse Practitioner
NPI 1518295559
5145 SELLERS RD
Shallotte, NC 28470
(910) 754-4441
✔ PECOS✔ Accepts MedicareSame address
Hannah Disano, FNP-BC
Nurse Practitioner
NPI 1669244794
5145 SELLERS RD
Shallotte, NC 28470
(910) 754-4441
✔ PECOS✔ Accepts MedicareSame address
Rachel Findley, FNP-BC
Nurse Practitioner
NPI 1265174544
5145 SELLERS RD
Shallotte, NC 28470
(910) 754-4441
✔ PECOS✔ Accepts MedicareSame address
Daniel Hall, M.D.
Family Practice
NPI 1669460374
5145 SELLERS RD
Shallotte, NC 28470
(910) 754-4441
✔ PECOS✔ Accepts MedicareSame address
Cassaundra Hefner, FNP-BC
Nurse Practitioner
NPI 1306081468
5145 SELLERS RD
Shallotte, NC 28470
(910) 754-4441
✔ PECOS✔ Accepts MedicareSame address
Christopher Isenhour, MD
Family Practice
NPI 1205804739
5145 SELLERS RD
Shallotte, NC 28470
(910) 754-4441
✔ PECOS✔ Accepts MedicareSame address
Jennifer Percival
Nurse Practitioner
NPI 1053702076
5145 SELLERS RD
Shallotte, NC 28470
(910) 754-4441
✔ PECOS✔ Accepts MedicareSame address
Danielle Redman
Nurse Practitioner
NPI 1750702072
5145 SELLERS RD
Shallotte, NC 28470
(910) 754-4441
✔ PECOS✔ Accepts MedicareSame address
Jarrod Sheatsley, M.D.
Family Practice
NPI 1427343730
5145 SELLERS RD
Shallotte, NC 28470
(910) 754-4441
✔ PECOS✔ Accepts MedicareSame address
Angela Thompson, MD
Family Practice
NPI 1356336457
5145 SELLERS RD
Shallotte, NC 28470
(910) 754-4441
✔ PECOS✔ Accepts MedicareSame address
David Weston, M.D.
Family Practice
NPI 1639167455
5145 SELLERS RD
Shallotte, NC 28470
(910) 754-4441
✔ PECOS✔ Accepts MedicareSame address
Michael Winfree, FNP
Nurse Practitioner
NPI 1619271681
5145 SELLERS RD
Shallotte, NC 28470
(910) 754-4441
✔ PECOS✔ Accepts MedicareSame address
Ashlee Wood, FNP-C
Nurse Practitioner
NPI 1215822465
5145 SELLERS RD
Shallotte, NC 28470
(910) 754-4441
✔ PECOS✔ Accepts MedicareSame address
Jada Butler, FNP
Nurse Practitioner
NPI 1194422329
512 VILLAGE RD STE 205
Shallotte, NC 28470
(910) 754-4441
✔ PECOS✔ Accepts MedicareSame address
Kevin Price, DO
Internal Medicine
NPI 1295772341
512 VILLAGE RD STE 205
Shallotte, NC 28470
(910) 754-4441
✔ PECOS✔ Accepts MedicareSame address
Marie Wheatley, FNP-C
Nurse Practitioner
NPI 1497807986
512 VILLAGE RD STE 205
Shallotte, NC 28470
(910) 754-4441
✔ PECOS✔ Accepts MedicareSame address
John Fillmore, FNP
Nurse Practitioner
NPI 1003889080
640 WHITEVILLE RD NW
Shallotte, NC 28470
(910) 754-4441
✔ PECOS1.2 mi
Nicholas Bodenheimer, DO
Obstetrics/Gynecology
NPI 1457642134
584 HOSPITAL DRIVE SUITE B
Bolivia, NC 28422
(910) 721-4050
✔ PECOS✔ Accepts Medicare9.3 mi
Richard Thompson, DO
Obstetrics/Gynecology
NPI 1902125131
584 HOSPITAL DR NE SUITE B
Bolivia, NC 28422
(910) 721-4050
✔ PECOS✔ Accepts Medicare9.3 mi
See all 561 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, LLC's NPI number?

The NPI number for Novant Health Medical Group, LLC is 1710051123. It was assigned to this organization in the NPPES registry on November 17, 2006. The provider is doing business as Novant Health Oceanside Family Medicine & Convenient Care.

Where is Novant Health Medical Group, LLC located?

Novant Health Medical Group, LLC is located at 5145 Sellers Rd Suite A, Shallotte, NC 28470. The listed phone number is (910) 754-4441.

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

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

Is Novant Health Medical Group, LLC enrolled in Medicare?

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

When is Novant Health Medical Group, 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 January 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, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 561 clinicians in 23 Medicare specialties reassign their Medicare billing to Novant Health Medical Group, 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 Obstetrics/Gynecology (131), Nurse Practitioner (106) and Family Practice (87). Of these, 14 practice at this address and 20 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Novant Health Medical Group, 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 and 1 other insurer list Novant Health Medical Group, 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, LLC was last updated on July 9, 2024. 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.