Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Novant Health Medical Group Coastal Region, LLC

Organization Psychiatry Physician · NPI 1063203941

Novant Health Medical Group Coastal Region, LLC provides Psychiatry Physician services in Wilmington, North Carolina. Registered with an NPI since 2025.

In the registry since
2025
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

416 N 30th St
Wilmington, NC 28405-3158
Phone: (910) 667-7000
Fax: (910) 815-5850
Show map & directions

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

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X

Record details

NPI number1063203941
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Leea Walton — Enrollment Manager · (336) 515-7085
Other names Novant Health Psychiatry Residency Clinic
NPI enumeratedMay 13, 2025
Last updated in NPPESMay 13, 2025
Certification dateMay 13, 2025
Mailing addressPo Box 936857, Atlanta, GA 31193-6857

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