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NOVANT HEALTH MEDICAL GROUP COASTAL REGION, LLC
NPI 1710647698
Surgery - Pediatric Surgery in Wilmington, NC

Active since December 20, 2021
2131 S 17TH ST, WILMINGTON, NC 28401(910) 667-5830(910) 662-8909 Get Directions Write a Review

NPPES record last updated: December 20, 2021. Verified against the NPPES registry weekly; last sync: July 26, 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 1710647698), doing business as Novant Health Pediatric Surgery, is a healthcare organization registered as a pediatric surgery in Wilmington, North Carolina and active in the NPI registry since December 2021. The organization lists Shala Davis, Rcs Manager, as its authorized official.

NPPES Registry Identity

NPI1710647698
Entity TypeOrganization
Primary Taxonomy2086S0120X
Legal Business NameNOVANT HEALTH MEDICAL GROUP COASTAL REGION, LLC
Location Address2131 S 17TH STWilmington, NC 28401-7407
Mailing AddressPo Box 936857Atlanta, GA 31193-6857
Phone(910) 667-5830
Fax(910) 662-8909
Organization SubpartNo
Authorized OfficialShala DavisRcs Manager · (704) 303-7517
Enumeration DateDecember 20, 2021
NPPES CertifiedDecember 14, 2021
✔ NPI 1710647698 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Pediatric SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0120X
Definition
A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.
2131 S 17TH ST, Wilmington, NC 28401
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Other Names 1

Doing Business AsNovant Health Pediatric Surgery

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 of North Carolina, Ambetter of Tennessee and more.Insurance ›

Other Providers at the Same Location NPPES 20

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

NEW HANOVER REGIONAL MEDICAL CENTER
Rehabilitation Hospital
2131 S 17TH ST
WILMINGTON, NC 28401
New Hanover County (910) 343-7000
CAROLYN JONES
Nurse Practitioner (Neonatal, Critical Care)
2131 S 17TH ST
WILMINGTON, NC 28401
New Hanover County (910) 667-2970
CHRISTIAN SANCHEZ M.D.
Hospitalist
2131 S 17TH ST
WILMINGTON, NC 28401
New Hanover County (910) 667-7000
KATHRYN GENCIE NEWELL DO
Family Medicine
2131 S 17TH ST
WILMINGTON, NC 28401
New Hanover County (910) 343-7000
NICOLE BRITT RN
Registered Nurse (Critical Care Medicine)
2131 S 17TH ST
WILMINGTON, NC 28401
New Hanover County (910) 343-7000
LI NICHOLS MD
Hospitalist
2131 S 17TH ST
WILMINGTON, NC 28401
New Hanover County (910) 667-7000
JAMES ADGENT MD
Hospitalist
2131 S 17TH ST
WILMINGTON, NC 28401
New Hanover County (910) 667-7000
NANNETTE B MARTIN NP
Nurse Practitioner
2131 S 17TH ST
WILMINGTON, NC 28401
New Hanover County (910) 772-9202

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 1710647698. It was assigned to this organization in the NPPES registry on December 20, 2021. The provider is doing business as Novant Health Pediatric Surgery.

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

Novant Health Medical Group Coastal Region, LLC is located at 2131 S 17th St, Wilmington, NC 28401. The listed phone number is (910) 667-5830.

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

The primary specialty registered for this NPI is Surgery, specializing in Pediatric Surgery, with taxonomy code 2086S0120X.

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 December 20, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.