Active NPI
Novant Health Medical Group Coastal Region, LLC
- Neurology Physician
- Wilmington, NC
National Provider Identifier
1669378659
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- Legal business name
- NOVANT HEALTH MEDICAL GROUP COASTAL REGION, LLC
- Doing business as
- Novant Health Medical Group Coastal Region, LLC
- Practice address
- 1515 Doctors Cir BLDG a
Wilmington, NC 28401-7403 - Phone
- (910) 662-7500
- NPI assigned
- Oct 16, 2026
- Last updated
- Oct 16, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Leea Jeanine Walton
- Title
- RCS Manager
- Phone
- (336) 515-7085
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | NU | Primary |
Addresses
Primary practice location
1515 Doctors Cir BLDG a
Wilmington, NC 28401-7403
Mailing address
PO Box 936857
Atlanta, GA 31193-6857
Phone (910) 662-7500
Other names 1
- NOVANT HEALTH MEDICAL GROUP COASTAL REGION, LLC
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1792108800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1792108800000",
"number": "1669378659",
"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",
"telephone_number": "910-662-7500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1515 DOCTORS CIR BLDG A",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284017403",
"telephone_number": "910-662-7500"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NOVANT HEALTH MEDICAL GROUP COASTAL REGION, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-10-16",
"last_updated": "2026-10-16",
"certification_date": "2026-10-16",
"status": "A",
"authorized_official_last_name": "WALTON",
"authorized_official_first_name": "LEEA",
"authorized_official_middle_name": "JEANINE",
"authorized_official_title_or_position": "RCS MANAGER",
"authorized_official_telephone_number": "336-515-7085"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "NOVANT HEALTH MEDICAL GROUP COASTAL REGION, LLC",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Wilmington, NC
- Novant Health Medical Group Coastal Region, LLC (Novant Health Urology)
- Novant Health Medical Group Coastal Region, LLC (Novant Health Inpatient Care Specialists)
- Novant Health Medical Group Coastal Region, LLC (New Hanover Medical Group)
- Novant Health Medical Group Coastal Region, LLC
- Novant Health Medical Group Coastal Region, LLC (NHMGCR Cape Fear Heart)
- Novant Health Medical Group Coastal Region, LLC (Cape Fear Cancer Specialists)
- Novant Health Medical Group Coastal Region, LLC (Novant Health Pediatric Surgery)
- Novant Health Medical Group Coastal Region, LLC (NHRMC Rehab YMCA)
- Novant Health Medical Group Coastal Region, LLC
- Novant Health Medical Group Coastal Region, LLC (Coastal Pulmonary Medicine)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.