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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: July 26, 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
Phone(910) 662-8765
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
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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

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 ›

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 for Provider-Performed Microscopy Procedures (PPMP) 34D0977081

Novant Health Urology - Wilmington · Wilmington, NC
Active · expires Feb 20, 2027
CLIA Number34D0977081
Laboratory TypePhysician Office
Certificate Effective DateFebruary 21, 2025
Certificate Expiration DateFebruary 20, 2027
Laboratory DirectorRobert T. Bennett
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 in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform 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.

Other Providers at the Same Location NPPES 17

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

CHRISTOPHER ERIC MOSS PA
Physician Assistant
1814 NEW HANOVER MEDICAL PARK DR
WILMINGTON, NC 28403
New Hanover County (910) 662-8765
MR. LARRY JASON BYRD FNP
Nurse Practitioner
1814 NEW HANOVER MEDICAL PARK DR
WILMINGTON, NC 28403
New Hanover County (910) 662-8765
NOVANT HEALTH MEDICAL GROUP COASTAL REGION, LLC
Urology
1814 NEW HANOVER MEDICAL PARK DR
WILMINGTON, NC 28403
New Hanover County (910) 662-8765
ROBERT TODD BENNETT MD
Urology
1814 NEW HANOVER MEDICAL PARK DR
WILMINGTON, NC 28403
New Hanover County (910) 662-8765
HANNAH LYNN RICHARDSON
Physician Assistant
1814 NEW HANOVER MEDICAL PARK DR
WILMINGTON, NC 28403
New Hanover County (910) 662-8765
SUSAN ANDERSON NP
Nurse Practitioner
1814 NEW HANOVER MEDICAL PARK DR
WILMINGTON, NC 28403
New Hanover County (910) 662-8765
GERALD MERRELL PA
Physician Assistant
1814 NEW HANOVER MEDICAL PARK DR
WILMINGTON, NC 28403
New Hanover County (910) 662-8765
MARGARET VIRGINIA FLEISHMAN PA
Physician Assistant
1814 NEW HANOVER MEDICAL PARK DR
WILMINGTON, NC 28403
New Hanover County (910) 662-8765

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.

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 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 21 months 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.