NOVANT HEALTH MAXILLOFACIAL SURGERY
NPI 1902485600
Oral & Maxillofacial Surgery in Wilmington, NC
About Novant Health Maxillofacial Surgery NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NOVANT HEALTH MAXILLOFACIAL SURGERY (NPI 1902485600) is a healthcare organization registered as an oral & maxillofacial surgery in Wilmington, North Carolina and active in the NPI registry since April 2021. The organization holds a CLIA Waiver certificate valid through April 10, 2028, maintains 3 additional practice locations, and lists Shala Davis, Rcs Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 2
Secondary Practice Locations 3
Group Practice 1
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 Maxillofacial Surgery 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.
Clinicians Billing Medicare Through This Organization
710Medicare enrollment records show 710 clinicians reassign Medicare billing to Novant Health Maxillofacial Surgery, which bills Medicare for the services they deliver. Of these, 129 practice at this address and 466 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 47
Nearest to this location (20)
See all 710Source: 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
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 34D2302512
Novant Health Maxillofacial Surgery - Autumn Hall · Wilmington, NCFrequently 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 1902485600. It was assigned to this organization in the NPPES registry on April 8, 2021. The provider is doing business as Novant Health Maxillofacial Surgery and NHRMC Physician Specialists - Maxillofacial 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) 662-9300.
What is Novant Health Medical Group Coastal Region, LLC's specialty?
The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.
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, 129 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 a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 34D2302512) is associated with this NPI, valid through April 10, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
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 March 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Novant Health Maxillofacial Surgery · NPI 1902485600
Oral & Maxillofacial Surgery organization in Wilmington, North Carolina. Organization record, active in the CMS NPPES registry since April 8, 2021.
## Identity
- **NPI:** 1902485600 (Entity type: Organization)
- **Enumerated:** April 8, 2021
- **Primary specialty:** Oral & Maxillofacial Surgery · taxonomy 204E00000X
- **Legal business name:** Novant Health Medical Group Coastal Region, Llc
- **Also known as:** NHRMC Physician Specialists - Maxillofacial Surgery (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Shala Davis, RCS MANAGER
## Practice location
- **Address:** 2131 S 17TH ST, Wilmington, NC 28401-7407
- **Phone:** (910) 662-9300 · **Fax:** (910) 662-9301
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** March 31, 2027 (Non-DME Part B, North Carolina, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 710 clinicians in 47 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (191), Hospitalist (87), Family Practice (56); 129 practice at this address and 466 within 10 miles; [full list](https://npiprofile.com/npi/1902485600/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 28, 2023
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1902485600) · Data from the CMS NPPES public registry.