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

Novant Health Medical Group Coastal Region, LLC

Organization Surgery Physician · NPI 1215517735

Novant Health Medical Group Coastal Region, LLC provides Surgery Physician services in Wilmington, North Carolina. 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

2259 S 17th St
Wilmington, NC 28401-7542
Phone: (910) 662-9300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X

Record details

NPI number1215517735
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shala Davis — Rcs Manager · (704) 316-7845
NPI enumeratedApril 9, 2021
Last updated in NPPESApril 9, 2021
Certification dateApril 1, 2021
Mailing addressPo Box 936857, Atlanta, GA 31193-6857

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