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NOVANT HEALTH MEDICAL GROUP COASTAL REGION, LLC
NPI 1801565684
Internal Medicine - Hematology & Oncology in Carolina Shores, NC

Active since September 07, 2021
75 EMERSON BAY RD STE 104, CAROLINA SHORES, NC 28467(910) 667-4283(910) 338-0965 Get Directions Write a Review

NPPES record last updated: September 18, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 18, 2025, Dec 30, 2021, Sep 7, 2021 (3 updates tracked since 2021).

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 1801565684), doing business as Novant Health Cancer Institute, is a healthcare organization registered as a hematology & oncology in Carolina Shores, North Carolina and active in the NPI registry since September 2021. The organization maintains 2 additional practice locations and lists Shala Davis, Enrollment Manager, as its authorized official.

NPPES Registry Identity

NPI1801565684
Entity TypeOrganization
Primary Taxonomy207RH0003X
Legal Business NameNOVANT HEALTH MEDICAL GROUP COASTAL REGION, LLC
Location Address75 EMERSON BAY RD STE 104Carolina Shores, NC 28467-2498
Mailing AddressPo Box 936857Atlanta, GA 31193-6857 · (910) 667-4283 · Fax (910) 338-0965
Phone(910) 667-4283
Fax(910) 338-0965
Organization SubpartNo
Authorized OfficialShala DavisEnrollment Manager · (704) 303-7517
Enumeration DateSeptember 7, 2021
Last NPPES UpdateSeptember 18, 20253 updates tracked since enumeration
NPPES CertifiedSeptember 18, 2025
✔ NPI 1801565684 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Also ListedObstetrics & Gynecology · Gynecologic OncologyTaxonomy 207VX0201X
75 EMERSON BAY RD STE 104, Carolina Shores, NC 28467
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Other Names 1

Doing Business AsNovant Health Cancer Institute

Secondary Practice Locations 2

Location 12131 S 17th StWilmington, NC 28401-7407 · Phone (910) 667-3000 · Fax (910) 815-5464
Location 22000 Brabham AveJacksonville, NC 28546-0201 · Phone (910) 667-3000

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

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, 1 practice at this address. 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
Maria Rivell, MD
Internal Medicine
NPI 1679508386
75 EMERSON BAY RD STE 102
Carolina Shores, NC 28467
(910) 579-8363
✔ PECOS✔ Accepts MedicareSame address
Whitney Pruitt, AGNP
Nurse Practitioner
NPI 1104543545
512 VILLAGE RD STE 207
Shallotte, NC 28470
(910) 662-7500
✔ PECOS✔ Accepts Medicare11 mi
Nicholas Kallay, M.D.
Pulmonary Disease
NPI 1043209596
512 VILLAGE RD STE 101
Shallotte, NC 28470
(910) 721-4390
✔ PECOS✔ Accepts Medicare11 mi
Carol Young, MD
Pulmonary Disease
NPI 1124005897
512 VILLAGE RD STE 101
Shallotte, NC 28470
(910) 721-4390
✔ PECOS✔ Accepts Medicare11 mi
Nicole Kollman, NP
Nurse Practitioner
NPI 1477551844
257 HOSPITAL DR STE 201
Bolivia, NC 28422
(910) 662-9500
✔ PECOS✔ Accepts Medicare20 mi
Karen Manus, NP
Nurse Practitioner
NPI 1477551760
257 HOSPITAL DR STE 201
Bollivia, NC 28422
(910) 662-9500
✔ PECOS✔ Accepts Medicare20 mi
James Pate, APRN
Nurse Practitioner
NPI 1184062564
257 HOSPITAL DR NE STE 201
Bolivia, NC 28422
(910) 662-9500
✔ PECOS✔ Accepts Medicare20 mi
Mark Jordan, MD
Hospitalist
NPI 1881772309
240 HOSPITAL DR NE
Bolivia, NC 28422
(910) 721-2070
✔ PECOS✔ Accepts Medicare20 mi
Ingrit Kolpeja
Nurse Practitioner
NPI 1679106413
240 HOSPITAL DR NE
Bolivia, NC 28422
(910) 721-1000
✔ PECOS✔ Accepts Medicare20 mi
Lawrence Mason, MD
Hospitalist
NPI 1780812867
240 HOSPITAL DR NE
Bolivia, NC 28422
(910) 721-2070
✔ PECOS✔ Accepts Medicare20 mi
James Powell, MD
Hospitalist
NPI 1689369100
240 HOSPITAL DR NE
Bolivia, NC 28422
(910) 721-1000
✔ PECOS✔ Accepts Medicare20 mi
Joseph Saracino, M.D.
Gastroenterology
NPI 1285637108
240 HOSPITAL DR NE
Bolivia, NC 28422
(252) 527-6565
✔ PECOS✔ Accepts Medicare20 mi
Sara Brown, NP
Nurse Practitioner
NPI 1629008149
584 HOSPITAL DR NE STE. B
Bolivia, NC 28422
(910) 721-4050
✔ PECOS✔ Accepts Medicare20 mi
Patrick Ellis, MD
Cardiovascular Disease (Cardiology)
NPI 1861401606
584 HOSPITAL DR NE
Bolivia, NC 28422
(910) 662-9500
✔ PECOS✔ Accepts Medicare20 mi
Beverly Montalvo, FNP
Nurse Practitioner
NPI 1538366257
584 HOSPITAL DR NE UNIT E
Bolivia, NC 28422
(910) 662-9500
✔ PECOS✔ Accepts Medicare20 mi
Joshua Winslow, MD
Cardiovascular Disease (Cardiology)
NPI 1235106683
584 HOSPITAL DR NE
Bolivia, NC 28422
(910) 662-9500
✔ PECOS✔ Accepts Medicare20 mi
Richard Thompson, DO
Obstetrics/Gynecology
NPI 1902125131
584 HOSPITAL DR NE SUITE B
Bolivia, NC 28422
(910) 721-4050
✔ PECOS✔ Accepts Medicare20 mi
Thomas Duggan, MD
Hospitalist
NPI 1104857937
500 JEFFERSON ST
Whiteville, NC 28472
(910) 642-1776
✔ PECOS✔ Accepts Medicare30 mi
Andrew Kovacs, MD
Obstetrics/Gynecology
NPI 1134581655
627 JEFFERSON ST
Whiteville, NC 28472
(910) 642-3294
✔ PECOS✔ Accepts Medicare30 mi
Mesha Chadwick, MD
Internal Medicine
NPI 1962664284
924 N HOWE ST
Southport, NC 28461
(910) 457-3910
✔ PECOS✔ Accepts Medicare32 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 1801565684. It was assigned to this organization in the NPPES registry on September 7, 2021. The provider is doing business as Novant Health Cancer Institute.

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

Novant Health Medical Group Coastal Region, LLC is located at 75 Emerson Bay Rd Ste 104, Carolina Shores, NC 28467. The listed phone number is (910) 667-4283.

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

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

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, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Novant Health Medical Group Coastal Region, LLC was last updated on September 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.