NPIMap

Organization Active NPI

Novant Health New Hanover Regional Medical Center LLC

Doing business as Nhnhrmc Physician Group Coastal Family Medicine

  • Family Medicine Physician
  • Wilmington, NC
National Provider Identifier
1134718224
Registry record updated Jan 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
NOVANT HEALTH NEW HANOVER REGIONAL MEDICAL CENTER LLC
Doing business as
Nhnhrmc Physician Group Coastal Family Medicine
Practice address
2523 Delaney Ave
Wilmington, NC 28403-6003
Phone
(910) 772-9202
Fax
(910) 772-9452
NPI assigned
Jan 13, 2021
Last updated
Jan 13, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jon Kevin Griffin
Title
SVP Financial Plan and Analysis
Phone
(704) 384-4182

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

2523 Delaney Ave
Wilmington, NC 28403-6003

Mailing address

101 N Cherry St Ste 600
Winston Salem, NC 27101-4013
Phone (336) 277-1604

Other names 1

  • NHNHRMC PHYSICIAN GROUP COASTAL FAMILY MEDICINE Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Novant Health Heart Vascul19 organizations share this tax ID, including this one

Other organizations with this tax ID 18

Organizations that report the same tax identification number in the National Provider Directory.

View all 18

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1610496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610496000000",
    "number": "1134718224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 N CHERRY ST STE 600",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271014013",
            "telephone_number": "336-277-1604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2523 DELANEY AVE",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284036003",
            "telephone_number": "910-772-9202",
            "fax_number": "910-772-9452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVANT HEALTH NEW HANOVER REGIONAL MEDICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-13",
        "last_updated": "2021-01-13",
        "certification_date": "2021-01-13",
        "status": "A",
        "authorized_official_last_name": "GRIFFIN",
        "authorized_official_first_name": "JON",
        "authorized_official_middle_name": "KEVIN",
        "authorized_official_title_or_position": "SVP FINANCIAL PLAN AND ANALYSIS",
        "authorized_official_telephone_number": "704-384-4182"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NHNHRMC PHYSICIAN GROUP COASTAL FAMILY MEDICINE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wilmington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.