Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Novant Health Medical Group Coastal Region, LLC

Organization Surgery Physician · NPI 1962082479

Novant Health Medical Group Coastal Region, LLC is a Surgery Physician in Wilmington, North Carolina. Works from 3 locations. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2221 S 17th St
Wilmington, NC 28401-7542
Phone: (910) 662-7720
Fax: (910) 815-0840
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 2000 Brabham Ave, Jacksonville, NC 28546-0201 — (910) 662-7720
  • 109 Scotts Hill Medical Dr., Wilmington, NC 28411 — (910) 662-7720

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X

Record details

NPI number1962082479
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shala Davis — Rcs Manager · (704) 303-7517
Other names Nhrmc Physician Specialists - General Surgery Specialists - Colon & Re; Novant Health General Surgery (Colon & Rectal)
NPI enumeratedApril 9, 2021
Last updated in NPPESDecember 2, 2024
Certification dateNovember 27, 2024
Mailing addressPo Box 936857, Atlanta, GA 31193-6857

Other providers in Wilmington