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NOVANT HEALTH MEDICAL GROUP COASTAL REGION, LLC
NPI 1932073541
Obstetrics & Gynecology - Gynecologic Oncology in Wilmington, NC

Active since October 06, 2025
109 SCOTTS HILL MEDICAL DR, STE 100A, WILMINGTON, NC 28411(910) 667-3000(910) 338-0965 Get Directions Write a Review

NPPES record last updated: October 6, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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 1932073541), doing business as Novant Health Cancer Institute, is a healthcare organization registered as a gynecologic oncology in Wilmington, North Carolina and active in the NPI registry since October 2025. The organization lists Leea Jeanine Walton, Rcs Manager, as its authorized official.

NPPES Registry Identity

NPI1932073541
Entity TypeOrganization
Primary Taxonomy207VX0201X
Legal Business NameNOVANT HEALTH MEDICAL GROUP COASTAL REGION, LLC
Location Address109 SCOTTS HILL MEDICAL DR, STE 100AWilmington, NC 28411
Mailing AddressPo Box 936857Atlanta, GA 31193-6857 · (910) 667-3000 · Fax (910) 338-0965
Phone(910) 667-3000
Fax(910) 338-0965
Organization SubpartNo
Authorized OfficialLeea Jeanine WaltonRcs Manager · (704) 316-6081
Enumeration DateOctober 6, 2025
NPPES CertifiedSeptember 19, 2025
✔ NPI 1932073541 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · Gynecologic OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207VX0201X
Definition
An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications.
109 SCOTTS HILL MEDICAL DR, Wilmington, NC 28411
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Other Names 1

Doing Business AsNovant Health Cancer Institute

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, 5 practice at this address and 54 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
Jeffrey Kornegay, MD
Internal Medicine
NPI 1053511592
109 SCOTTS HILL MEDICAL DR STE 204
Wilmington, NC 28411
(910) 662-1960
✔ PECOS✔ Accepts MedicareSame address
Emily Mackovjak, FNP
Nurse Practitioner
NPI 1619382868
109 SCOTTS HILL MEDICAL DR STE 204
Wilmington, NC 28411
(910) 662-1960
✔ PECOS✔ Accepts MedicareSame address
Robert Talton, M.D.
Family Practice
NPI 1356318828
109 SCOTTS HILL MEDICAL DR STE 204
Wilmington, NC 28411
(910) 662-1960
✔ PECOS✔ Accepts MedicareSame address
Lara Jaussi, D.O.
Family Practice
NPI 1124408471
109 SCOTTS HILL MEDICAL DR STE 204
Wilmington, NC 28411
(910) 662-1960
✔ PECOSSame address
Sarah Shepard, DO
Obstetrics/Gynecology
NPI 1750720611
109 SCOTTS HILL MEDICAL DR STE 204
Wilmington, NC 28411
(910) 662-9480
✔ PECOSSame address
Austin Ross, DO
Hospitalist
NPI 1992441885
151 SCOTTS HILL MEDICAL DR
Wilmington, NC 28411
(910) 662-2127
✔ PECOS✔ Accepts Medicare0.1 mi
Hannah Teaff, DO
Hospitalist
NPI 1386347268
151 SCOTTS HILL MEDICAL DR
Wilmington, NC 28411
(910) 662-2127
✔ PECOS0.1 mi
Jessica Chase, DO
Family Practice
NPI 1881190924
7420 MARKET ST
Wilmington, NC 28411
(910) 662-6200
✔ PECOS✔ Accepts Medicare3.6 mi
Janice Dickerson, M.D.
Family Practice
NPI 1043250111
7420 MARKET ST
Wilmington, NC 28411
(910) 686-2525
✔ PECOS✔ Accepts Medicare3.6 mi
Patrice Eglinton, DO
Family Practice
NPI 1033572201
7420 MARKET ST
Wilmington, NC 28411
(910) 662-6200
✔ PECOS✔ Accepts Medicare3.6 mi
Sean Hommel, DO
Family Practice
NPI 1780905554
7420 MARKET ST
Wilmington, NC 28411
(910) 686-2525
✔ PECOS✔ Accepts Medicare3.6 mi
Thomas Lee, MD
Internal Medicine
NPI 1497774004
7420 MARKET ST
Wilmington, NC 28411
(910) 662-6200
✔ PECOS✔ Accepts Medicare3.6 mi
Matthew Messier, MD
Internal Medicine
NPI 1588647028
7420 MARKET ST
Wilmington, NC 28411
(910) 686-2525
✔ PECOS✔ Accepts Medicare3.6 mi
Justin Miller, MD
Internal Medicine
NPI 1760590632
7420 MARKET ST
Wilmington, NC 28411
(910) 686-2525
✔ PECOS✔ Accepts Medicare3.6 mi
Kimberly Miller, MD
Family Practice
NPI 1023227527
7420 MARKET ST
Wilmington, NC 28411
(910) 662-6200
✔ PECOS✔ Accepts Medicare3.6 mi
Siten Patel, MD
Family Practice
NPI 1467071423
7420 MARKET ST
Wilmington, NC 28411
(910) 662-6200
✔ PECOS✔ Accepts Medicare3.6 mi
Margaret Pierson, MD
Family Practice
NPI 1962498147
7420 MARKET ST
Wilmington, NC 28411
(910) 686-2525
✔ PECOS✔ Accepts Medicare3.6 mi
Noah Pierson, MD
Family Practice
NPI 1679569693
7420 MARKET ST
Wilmington, NC 28411
(910) 662-6200
✔ PECOS✔ Accepts Medicare3.6 mi
Jehan Shah, MD
Family Practice
NPI 1770158867
7420 MARKET ST
Wilmington, NC 28411
(910) 662-6200
✔ PECOS✔ Accepts Medicare3.6 mi
Shawn Conrad
Oral Surgery
NPI 1306971882
7320 MARKET ST
Wilmington, NC 28411
(910) 386-5003
✔ PECOS✔ Accepts Medicare4.0 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 1932073541. It was assigned to this organization in the NPPES registry on October 6, 2025. 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 109 Scotts Hill Medical Dr Ste 100A, Wilmington, NC 28411. The listed phone number is (910) 667-3000.

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

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecologic Oncology, with taxonomy code 207VX0201X.

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, 5 practice at this address and 54 within 10 miles. 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 October 6, 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.