NOVANT HEALTH UROLOGY
NPI 1740860345
Urology in Wilmington, NC

Active since April 09, 2021CLIA Certified · 2 labs
1814 NEW HANOVER MEDICAL PARK DR, WILMINGTON, NC 28403(910) 662-8765 Get Directions Write a Review

NPPES record last updated: October 22, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 13, 2024, May 19, 2022, Jul 19, 2021 and 1 more (4 updates tracked since 2021).

About Novant Health Urology NPPES

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

NOVANT HEALTH UROLOGY (NPI 1740860345) is a healthcare organization registered as an urology in Wilmington, North Carolina and active in the NPI registry since April 2021. The organization holds 2 active CLIA laboratory certificates, maintains 4 additional practice locations, and lists Leea Jeanine Walton, Enrollment Manager, as its authorized official.

NPPES Registry Identity

NPI1740860345
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameNOVANT HEALTH MEDICAL GROUP COASTAL REGION, LLC
Location Address1814 NEW HANOVER MEDICAL PARK DRWilmington, NC 28403-5350
Mailing AddressPo Box 936857Atlanta, GA 31193-6857
Organization SubpartNo
Authorized OfficialLeea Jeanine WaltonEnrollment Manager · (336) 515-7085
Enumeration DateApril 9, 2021
Last NPPES UpdateOctober 22, 20244 updates tracked since enumeration
NPPES CertifiedOctober 19, 2024
✔ NPI 1740860345 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
1814 NEW HANOVER MEDICAL PARK DR, Wilmington, NC 28403

Other Names 2

Doing Business AsNovant Health Urology
Doing Business AsAtlantic Urology

Secondary Practice Locations 4

Location 11333 S Dickinson Dr Unit 230Leland, NC 28451-6434 · Phone (910) 662-8765 · Fax (910) 254-1033
Location 2109 Scotts Hill Medical Dr, Ste 204Wilmington, NC 28411 · Phone (910) 662-8765 · Fax (910) 362-9123
Location 33009 Medical Plaza LnSouthport, NC 28461-5194 · Phone (910) 662-8765 · Fax (910) 362-9123
Location 42000 Brabham AveJacksonville, NC 28546-0201 · Phone (910) 662-8765 · Fax (910) 362-9123

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 Urology 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 Urology, which bills Medicare for the services they deliver. Of these, 7 practice at this address and 466 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
Urology
NPI 1710484423
1814 NEW HANOVER MEDICAL PARK DR
Wilmington, NC 28403
(910) 662-8765
✔ PECOS✔ Accepts MedicareSame address
Urology
NPI 1194720912
1814 NEW HANOVER MEDICAL PARK DR
Wilmington, NC 28403
(910) 662-8765
✔ PECOS✔ Accepts MedicareSame address
Urology
NPI 1578192894
1814 NEW HANOVER MEDICAL PARK DR
Wilmington, NC 28403
(910) 662-8765
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1083663454
1814 NEW HANOVER MEDICAL PARK DR
Wilmington, NC 28403
(910) 662-8765
✔ PECOS✔ Accepts MedicareSame address
Urology
NPI 1619100856
1814 NEW HANOVER MEDICAL PARK DR
Wilmington, NC 28403
(910) 662-8765
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1922683085
1814 NEW HANOVER MEDICAL PARK DR
Wilmington, NC 28403
(910) 662-8765
✔ PECOS✔ Accepts MedicareSame address
Urology
NPI 1790104628
1814 NEW HANOVER MEDICAL PARK DR
Wilmington, NC 28403
(910) 662-8765
✔ PECOS✔ Accepts MedicareSame address
General Surgery
NPI 1255837019
1726 NEW HANOVER MEDICAL PARK DR
Wilmington, NC 28403
(910) 662-9384
✔ PECOS✔ Accepts Medicare0.2 mi
Critical Care (Intensivists)
NPI 1972899276
1726 NEW HANOVER MEDICAL PARK DR
Wilmington, NC 28403
(910) 662-9384
✔ PECOS✔ Accepts Medicare0.2 mi
Nurse Practitioner
NPI 1740152750
1726 NEW HANOVER MEDICAL PARK DR
Wilmington, NC 28403
(910) 662-9384
✔ PECOS✔ Accepts Medicare0.2 mi
Internal Medicine
NPI 1437188737
1725 NEW HANOVER MEDICAL PARK DR
Wilmington, NC 28403
(910) 662-9300
✔ PECOS✔ Accepts Medicare0.2 mi
Endocrinology
NPI 1437680238
1725 NEW HANOVER MEDICAL PARK DR
Wilmington, NC 28403
(910) 662-9300
✔ PECOS✔ Accepts Medicare0.2 mi
Geriatric Medicine
NPI 1639122492
1725 NEW HANOVER MEDICAL PARK DR
Wilmington, NC 28403
(910) 662-9300
✔ PECOS✔ Accepts Medicare0.2 mi
Oral Surgery
NPI 1427372879
1725 NEW HANOVER MEDICAL PARK DR
Wilmington, NC 28403
(910) 662-9331
✔ PECOS✔ Accepts Medicare0.2 mi
Plastic and Reconstructive Surgery
NPI 1861517625
1725 NEW HANOVER MEDICAL PARK DR
Wilmington, NC 28403
(910) 662-9331
✔ PECOS✔ Accepts Medicare0.2 mi
Surgical Oncology
NPI 1902148265
1725 NEW HANOVER MEDICAL PARK DR
Wilmington, NC 28403
(910) 662-9300
✔ PECOS✔ Accepts Medicare0.2 mi
Infectious Disease
NPI 1831576255
1725 NEW HANOVER MEDICAL PARK DR
Wilmington, NC 28403
(910) 662-9300
✔ PECOS✔ Accepts Medicare0.2 mi
Registered Dietitian or Nutrition Professional
NPI 1124904693
1725 NEW HANOVER MEDICAL PARK DR
Wilmington, NC 28403
(901) 662-9300
✔ Accepts Medicare0.2 mi
Clinical Social Worker
NPI 1467184796
1725 NEW HANOVER MEDICAL PARK DR
Wilmington, NC 28403
(910) 662-9300
✔ PECOS0.2 mi
Certified Nurse Midwife (CNM)
NPI 1437688207
1721 NEW HANOVER MEDICAL PARK DR
Wilmington, NC 28403
(910) 726-9976
✔ PECOS✔ Accepts Medicare0.2 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.

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 34D0977081

Novant Health Urology - Wilmington · Wilmington, NC
Active · expires Jul 9, 2028
CLIA Number34D0977081
Laboratory TypePhysician Office
Certificate Effective DateJuly 10, 2026
Certificate Expiration DateJuly 9, 2028
Laboratory DirectorMichael Degon
Laboratory Phone(910) 662-8765
Laboratory LocationNovant Health Urology - Wilmington1814 New Hanover Medical Park Drive, Wilmington, NC 28403
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 34D2297341

Novant Health Urology - Jacksonville · Jacksonville, NC
Active · expires Jan 15, 2028
CLIA Number34D2297341
Laboratory TypePhysician Office
Certificate Effective DateJanuary 16, 2026
Certificate Expiration DateJanuary 15, 2028
Laboratory DirectorPhillip Marks
Laboratory Phone(910) 262-2782
Laboratory LocationNovant Health Urology - Jacksonville2000 Brabham Ave, Jacksonville, NC 28546
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 1740860345. It was assigned to this organization in the NPPES registry on April 9, 2021. The provider is doing business as Novant Health Urology and Atlantic Urology.

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

Novant Health Medical Group Coastal Region, LLC is located at 1814 New Hanover Medical Park Dr, Wilmington, NC 28403. The listed phone number is (910) 662-8765.

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

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

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, 7 practice at this address and 466 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Novant Health Medical Group Coastal Region, LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

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 October 22, 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.