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

Novant Health Medical Group, LLC

Organization Psychologist · NPI 1124579750

Novant Health Medical Group, LLC is a Psychologist in Shallotte, North Carolina. Works from 3 locations. Registered with an NPI since 2016.

In the registry since
2016
Specialties on file
2
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

512 Village Rd Ste 104
Shallotte, NC 28470-3409
Phone: (910) 721-4200
Fax: (910) 754-3811
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 584 Hospital Dr Ne, Bolivia, NC 28422-0019 — (704) 316-7585
  • 204 Smith Ave, Shallotte, NC 28470-4458 — (910) 721-4200

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X
Psychologist Taxonomy 103T00000X

Record details

NPI number1124579750
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Leea Walton — Rcs Manager · (704) 316-6081
Other names Novant Health Psychiatric Medicine; Novant Health Psychiatric Medicine
NPI enumeratedOctober 19, 2016
Last updated in NPPESJune 24, 2024
Certification dateJune 24, 2024
Mailing addressPo Box 60447, Charlotte, NC 28260-0447

Other providers in Shallotte