Novant Health Medical Group Coastal Region, LLC is a Internal Medicine Physician (organization) practicing in Shallotte, North Carolina. The National Provider Identifier (NPI) is #1770461824, which was assigned on August 26, 2025, and the registration record was last updated on August 26, 2025. The practitioner's main practice location is at 512 Village Rd Ste 206, Shallotte, NC 28470-3409; the contact telephone number is 9803029315. The primary taxonomy of Novant Health Medical Group Coastal Region, LLC is Internal Medicine Physician (207R00000X). The authorized official for Novant Health Medical Group Coastal Region, LLC is Leea Jeanine Walton (Rcs Manager).
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
| NPI | 1770461824 |
| Entity Type | Organization |
| Organization Name | NOVANT HEALTH MEDICAL GROUP COASTAL REGION, LLC |
| Provider Name | NOVANT HEALTH MEDICAL GROUP COASTAL REGION, LLC |
| Practice Address |
512 Village Rd Ste 206 Shallotte NC 28470-3409 |
| Practice Telephone | 9803029315 |
| Mailing Address |
Po Box 936857 Atlanta GA 31193-6857 |
| Mailing Telephone | 9803029315 |
| Certification Date | 2025-08-26 |
| Enumeration Date | 2025-08-26 |
| Last Update Date | 2025-08-26 |
| Is Organization Subpart | N |
| Official Name | LEEA JEANINE WALTON |
| Official Title | RCS MANAGER |
| Telephone | 7043166081 |
| Primary | Code | Classification | Specialization | Taxonomy Group | License Number | License State |
|---|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 193200000X MULTI-SPECIALTY GROUP |
| Other Organization Name | Type |
|---|---|
| Novant Health Infusion | Doing Business As Name |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Novant Health Medical Group Coastal Region, LLC | 5505 Currituck Dr Ste 200, Wilmington, NC 28403-1155 | Surgery Physician | 2025-03-11 |
| Novant Health Medical Group Coastal Region, LLC | 1725 New Hanover Medical Park Dr, Wilmington, NC 28403-5345 | Surgery Physician | 2021-04-08 |
| Novant Health Medical Group Coastal Region, LLC | 1099 Medical Center Dr Ste 101, Wilmington, NC 28401-7367 | Surgery Physician | 2025-02-25 |
| Novant Health Medical Group Coastal Region, LLC | 1415 Physicians Dr, Wilmington, NC 28401-7338 | Cardiovascular Disease Physician | 2021-03-18 |
| Novant Health Medical Group Coastal Region, LLC | 109 Scotts Hill Medical Dr, Ste 204, Wilmington, NC 28411 | Surgery Physician | 2025-01-16 |
| Novant Health Medical Group Coastal Region, LLC | 5505 Currituck Dr Ste 200, Wilmington, NC 28403-1155 | Plastic Surgery Physician | 2025-07-31 |
| Novant Health Medical Group Coastal Region, LLC | 416 N 30th St, Wilmington, NC 28405-3158 | Psychiatry Physician | 2025-05-13 |
| Novant Health Medical Group Coastal Region, LLC | 5505 Currituck Dr Ste 200, Wilmington, NC 28403-1155 | Oral & Maxillofacial Surgery (D.M.D.) | 2025-02-25 |
| Novant Health Medical Group Coastal Region, LLC | 109 Scotts Hill Medical Dr, Wilmington, NC 28411 | Internal Medicine Physician | 2025-01-16 |
| Novant Health Medical Group Coastal Region, LLC | 5505 Currituck Dr Ste 200, Wilmington, NC 28403-1155 | Colon & Rectal Surgery Physician | 2025-04-23 |
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| Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| Classification | Internal Medicine |
| Grouping | Allopathic & Osteopathic Physicians |
| Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
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| Adaora Uloma Asomugha | 13013 Fuller Ave Ste A, Grandview, MO 64030-2687 | Internal Medicine Physician | 2025-09-05 |
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| Bluehill Health and Wellness, PLLC | 125 Colvard Farm Rd, Jefferson, NC 28640-9151 | Internal Medicine Physician | 2025-09-03 |
| Bernard T Bartolome Md Ltd | 2670 S Jones Blvd Ste 1, Las Vegas, NV 89146-5341 | Internal Medicine Physician | 2025-09-05 |
| Circulus Clinic PC | 21050 Centre Pointe Pkwy, Santa Clarita, CA 91350-2976 | Internal Medicine Physician | 2025-09-04 |
| Orange Physicians Post Care LLC | 280 Highway 35 Ste 304, Red Bank, NJ 07701-5900 | Internal Medicine Physician | 2025-09-04 |
| Oakwood Ambulatory LLC | 7330 N Canton Center Rd, Canton, MI 48187-1538 | Internal Medicine Physician | 2025-09-05 |
| Reena Yadav | 1775 Dempster St, Park Ridge, IL 60068-1143 | Internal Medicine Physician | 2025-09-03 |
| Bryan Family Practice PLLC | 3201 University Dr E Ste 345, Bryan, TX 77802-3484 | Internal Medicine Physician | 2025-09-04 |
| Alfredo Czerwinski | 8019 Pagewood Ln, Houston, TX 77063-6119 | Internal Medicine Physician | 2025-09-05 |
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| Street Address |
512 VILLAGE RD STE 206 |
| City | SHALLOTTE |
| State | NC |
| Zip Code | 28470-3409 |
| Country | US |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Matthew Justin Lucas | 512 Village Rd Ste 205, Shallotte, NC 28470-3409 | Nurse Practitioner | 2017-01-06 |
| Foundation Health Systems LLC | 512 Village Rd Ste 102, Shallotte, NC 28470-3409 | Physical Therapist | 2016-09-26 |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Cindy J Brown | 4540 Main St, Shallotte, NC 28470-4446 | Pharmacist | 2017-01-23 |
| Allison Anna Chouinard | 4437 Main St, Shallotte, NC 28470-4451 | Addiction (Substance Use Disorder) Counselor | 2025-03-17 |
| Growth & Healing Center PLLC | 117 Holden Beach Rd Sw Ste 103, Shallotte, NC 28470-1787 | Clinical Social Worker | 2025-06-09 |
| Amazin Home Health Care, LLC | 143 Holden Beach Rd Sw Ste 1b, Shallotte, NC 28470-1918 | Home Health Agency | 2025-03-14 |
| Precision Audiology LLC | 3028 Arundel Hl Sw, Shallotte, NC 28470-0013 | Hearing and Speech Clinic/Center | 2025-07-23 |
| Scott Christopher Ganucheau | 5145 Sellers Rd, Shallotte, NC 28470-3405 | Athletic Trainer | 2014-07-17 |
| Rachel Irving Almond | 5160 Ocean Hwy W, Shallotte, NC 28470-4012 | Pediatric Nurse Practitioner | 2011-04-12 |
| Treatment Centers LLC | 4437 Main St, Shallotte, NC 28470-4451 | Methadone Clinic | 2025-02-24 |
| Natalie Ryan Mccoppin · Natalie Ryan Mann | 4437 Main St, Shallotte, NC 28470-4451 | Addiction (Substance Use Disorder) Counselor | 2025-07-01 |
| Chandee Conner Horne | 4437 Main St, Shallotte, NC 28470-4451 | Licensed Practical Nurse | 2025-05-28 |
| Find all providers in the same zip code | |||
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Novant Health Medical Group, LLC | 9930 Kincey Ave Ste 300, Huntersville, NC 28078-6541 | Internal Medicine Physician | 2006-06-06 |
| Novant Health Medical Group, LLC | 7509 Providence Rd Ste 200, Charlotte, NC 28270-2996 | Obstetrics & Gynecology Physician | 2022-01-27 |
| Novant Health Medical Group, LLC | 7210 Village Medical Cir Ste 310, Clemmons, NC 27012-8041 | Surgery Physician | 2013-02-08 |
| Novant Health Medical Group LLC | 2711 Randolph Rd Ste 100, Charlotte, NC 28207-2027 | Hearing Instrument Specialist | 2022-09-14 |
| Novant Health Medical Group, LLC | 330 Billingsley Rd Ste 202, Charlotte, NC 28211-5020 | Surgery Physician | 2022-09-14 |
| Novant Health Medical Group, LLC | 1456 N Howe St Ste 201, Southport, NC 28461-2674 | Plastic Surgery Physician | 2014-08-07 |
| Novant Health Medical Group, LLC | 400 Avinger Ln, Davidson, NC 28036-8800 | Internal Medicine Physician | 2025-04-24 |
| Novant Health Medical Group, LLC | 3333 Silas Creek Pkwy, Winston Salem, NC 27103-3013 | Hospice and Palliative Medicine (Internal Medicine) Physician | 2013-07-12 |
| Novant Health Medical Group, LLC | 1918 Randolph Rd Ste 220, Charlotte, NC 28207-1109 | Endocrinology, Diabetes & Metabolism Physician | 2022-09-19 |
| Novant Health Medical Group LLC | 2711 Randolph Rd Ste 100, Charlotte, NC 28207-2027 | Psychiatry Physician | 2024-12-04 |
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This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.
| Subject | Transparency and Disclosure |
| Jurisdiction | Federal |
| Data Provider | National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS) |
| Source | download.cms.gov |
The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number). All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid). Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008. This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information. |