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: August 02, 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
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.
75 EMERSON BAY RD STE 104, Carolina Shores, NC 28467

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

Accepted Insurance

Other Providers at the Same Location NPPES

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

Internal Medicine (Hematology & Oncology)
75 EMERSON BAY RD STE 104
CAROLINA SHORES, NC 28467

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.

What insurance does Novant Health Medical Group Coastal Region, LLC accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina and Ambetter of Tennessee 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 September 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.