Novant Health Medical Group Coastal Region, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

NOVANT HEALTH MEDICAL GROUP COASTAL REGION, LLC

Practice address

7910 US Hwy 117 S Unit 120
Rocky Point, NC 28457-7409

Phone

(910) 300-4500

Fax

(910) 675-3030

NPI assigned

Apr 9, 2021

Organization subpart

No

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

Authorized official

Name

Shala Davis

Title

RCS Manager

Phone

(704) 303-7517

Specialties & licenses 1

Addresses

Other names 2

• Novant Health Family Medicine Rocky Point Doing business as
• Pender Primary Care - Rocky Point Doing business as

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dorothy Parsley, MD

  • Obstetrics & Gynecology Physician
  • Wilmington, NC
  • NPI 1982964250
  NPD
• Cassidy Danae Vigil, PA

  • Physician Assistant
  • Winston Salem, NC
  • NPI 1073183034
  NPD

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

{
    "created_epoch": "1617926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670284800000",
    "number": "1407436934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 936857",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "311936857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7910 US HWY 117 S UNIT 120",
            "city": "ROCKY POINT",
            "state": "NC",
            "postal_code": "284577409",
            "telephone_number": "910-300-4500",
            "fax_number": "910-675-3030"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2710 Market St",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "NC",
            "postal_code": "284031218",
            "country_code": "US",
            "telephone_number": "910-662-8135",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NOVANT HEALTH MEDICAL GROUP COASTAL REGION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-09",
        "last_updated": "2022-12-06",
        "certification_date": "2022-12-06",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "SHALA",
        "authorized_official_title_or_position": "RCS MANAGER",
        "authorized_official_telephone_number": "704-303-7517"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Novant Health Family Medicine Rocky Point",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pender Primary Care - Rocky Point",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael Brian Bush, DMD, PA
• Austin Nels Oliver Morgan, MD
• Heather Mosier, LPA, BCBA
• George Newbill Jr., DO
• Nhrmc Home Care
• Novant Health Medical Group Coastal Region, LLC
• Kevin Christopher Panebianco
• Alexis Micheala Pencola, LCSWA, LCASA
• Pender Memorial Hospital, Inc.
• Sarah E Plant-Nowachek, FHC

• Family Medicine Physician in Rocky Point, NC
• Providers in Rocky Point, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.