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NOVANT HEALTH GENERAL SURGERY (COLON & RECTAL)
NPI 1962082479
Surgery in Wilmington, NC

Active since April 09, 2021
2221 S 17TH ST, WILMINGTON, NC 28401(910) 662-7720(910) 815-0840 Get Directions Write a Review

NPPES record last updated: December 2, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 2, 2024, Apr 10, 2023, Jul 19, 2021 and 2 more (5 updates tracked since 2021).

About Novant Health General Surgery (colon & Rectal) NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NOVANT HEALTH GENERAL SURGERY (COLON & RECTAL) (NPI 1962082479) is a healthcare organization registered as a surgery in Wilmington, North Carolina and active in the NPI registry since April 2021. The organization maintains 2 additional practice locations and lists Shala Davis, Rcs Manager, as its authorized official.

NPPES Registry Identity

NPI1962082479
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NameNOVANT HEALTH MEDICAL GROUP COASTAL REGION, LLC
Location Address2221 S 17TH STWilmington, NC 28401-7542
Mailing AddressPo Box 936857Atlanta, GA 31193-6857
Phone(910) 662-7720
Fax(910) 815-0840
Organization SubpartNo
Authorized OfficialShala DavisRcs Manager · (704) 303-7517
Enumeration DateApril 9, 2021
Last NPPES UpdateDecember 2, 20245 updates tracked since enumeration
NPPES CertifiedNovember 27, 2024
✔ NPI 1962082479 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
2221 S 17TH ST, Wilmington, NC 28401
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Other Names 2

Doing Business AsNovant Health General Surgery (colon & Rectal)
Doing Business AsNhrmc Physician Specialists - General Surgery Specialists - Colon & Re

Secondary Practice Locations 2

Location 12000 Brabham AveJacksonville, NC 28546-0201 · Phone (910) 662-7720 · Fax (910) 815-0840
Location 2109 Scotts Hill Medical Dr., Ste 204Wilmington, NC 28411 · Phone (910) 662-7720 · Fax (910) 815-0840

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 Blue Cross and Blue Shield of NC.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 General Surgery (colon & Rectal) 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 General Surgery (colon & Rectal), which bills Medicare for the services they deliver. Of these, 10 practice at this address and 466 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
Henna Ables, CNM
Certified Nurse Midwife (CNM)
NPI 1598303356
2221 S 17TH ST
Wilmington, NC 28401
(910) 815-5190
✔ PECOSSame address
Susan Carney, CNM
Certified Nurse Midwife (CNM)
NPI 1407912967
2221 S 17TH ST
Wilmington, NC 28401
(910) 815-5190
✔ PECOSSame address
Diana Deviney, CNM
Certified Nurse Midwife (CNM)
NPI 1942422571
2221 S 17TH ST
Wilmington, NC 28401
(910) 815-5190
✔ PECOS✔ Accepts MedicareSame address
Alexandra Griffith, CNM
Certified Nurse Midwife (CNM)
NPI 1043914146
2221 S 17TH ST
Wilmington, NC 28401
(910) 815-5190
✔ PECOSSame address
Ann Iannitto
Certified Nurse Midwife (CNM)
NPI 1477955607
2221 S 17TH ST
Wilmington, NC 28401
(910) 815-5190
✔ PECOSSame address
Pamela Irby, CNM
Certified Nurse Midwife (CNM)
NPI 1386814218
2221 S 17TH ST
Wilmington, NC 28401
(910) 815-5190
✔ PECOSSame address
Olivia King, CNM
Certified Nurse Midwife (CNM)
NPI 1225791882
2221 S 17TH ST
Wilmington, NC 28401
(910) 815-5190
✔ PECOSSame address
Cassie Lohrey, CNM
Certified Nurse Midwife (CNM)
NPI 1790416808
2221 S 17TH ST
Wilmington, NC 28401
(810) 577-6498
✔ PECOSSame address
Joseph Payne
Colorectal Surgery (Proctology)
NPI 1205854452
2221 S 17TH ST
Wilmington, NC 28401
(910) 662-7720
✔ PECOS✔ Accepts MedicareSame address
Catalina Valencia, CNM, PMHNP-B
Certified Nurse Midwife (CNM)
NPI 1477969442
2221 S 17TH ST
Wilmington, NC 28401
(910) 815-5190
✔ PECOSSame address
Sarah Beebe, MD
Obstetrics/Gynecology
NPI 1548766991
1809 GLEN MEADE RD
Wilmington, NC 28403
(910) 763-9833
✔ PECOS✔ Accepts Medicare0.1 mi
Victoria Franklin, WHNP
Nurse Practitioner
NPI 1902109085
1809 GLEN MEADE RD
Wilmington, NC 28403
(910) 763-9833
✔ PECOS✔ Accepts Medicare0.1 mi
Kateryna Kotlyarevska, MD
Pediatric Medicine
NPI 1447384797
2131 S 17TH ST NEW HANOVER REGIONAL MEDICAL CENTER
Wilmington, NC 28401
(910) 667-3984
✔ PECOS✔ Accepts Medicare0.2 mi
James Adgent, MD
Hospitalist
NPI 1023039179
2131 S 17TH ST
Wilmington, NC 28401
(910) 667-7000
✔ PECOS✔ Accepts Medicare0.2 mi
Lauren Anderson, DO
Internal Medicine
NPI 1306540075
2131 S 17TH ST
Wilmington, NC 28401
(910) 343-7000
✔ PECOS✔ Accepts Medicare0.2 mi
Shantanu Baghel, DO
Psychiatry
NPI 1134610983
2131 S 17TH ST
Wilmington, NC 28401
(910) 667-7000
✔ PECOS✔ Accepts Medicare0.2 mi
Swaleh Bahamadi, MD
Medical Oncology
NPI 1649320144
2131 S 17TH ST
Wilmington, NC 28401
(910) 667-3000
✔ PECOS✔ Accepts Medicare0.2 mi
John Bissett, DO
Family Practice
NPI 1588025746
2131 S 17TH ST
Wilmington, NC 28401
(910) 667-7000
✔ PECOS✔ Accepts Medicare0.2 mi
Lindsey Buckingham, MD
Gynecological Oncology
NPI 1194138925
2131 S 17TH ST
Wilmington, NC 28401
(910) 667-3000
✔ PECOS✔ Accepts Medicare0.2 mi
Alyssa Cortese, MD
Hematology/Oncology
NPI 1053818120
2131 S 17TH ST
Wilmington, NC 28401
(910) 667-3000
✔ PECOS✔ Accepts Medicare0.2 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 1962082479. It was assigned to this organization in the NPPES registry on April 9, 2021. The provider is doing business as Novant Health General Surgery (colon & Rectal) and NHRMC Physician Specialists - General Surgery Specialists - Colon & Re.

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

Novant Health Medical Group Coastal Region, LLC is located at 2221 S 17th St, Wilmington, NC 28401. The listed phone number is (910) 662-7720.

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

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

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, 10 practice at this address and 466 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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

Health plans from 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 December 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.