Active NPI
Novant Health Medical Group NC Coastal Region Specialty, LLC
Doing business as Novant Health Cancer Institute
- Hematology & Oncology Physician
- Jacksonville, NC
National Provider Identifier
1770487191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- Legal business name
- NOVANT HEALTH MEDICAL GROUP NC COASTAL REGION SPECIALTY, LLC
- Doing business as
- Novant Health Cancer Institute
- Practice address
- 2000 Brabham Ave
Jacksonville, NC 28546-0201 - Phone
- (910) 667-3000
- Fax
- (910) 338-0965
- NPI assigned
- Oct 7, 2026
- Last updated
- Oct 7, 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 |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | NU | Primary |
Addresses
Primary practice location
2000 Brabham Ave
Jacksonville, NC 28546-0201
Mailing address
PO Box 604532
Charlotte, NC 28260-4532
Other names 1
- Novant Health Cancer Institute
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1791331200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1791331200000",
"number": "1770487191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 604532",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282604532"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 BRABHAM AVE",
"city": "JACKSONVILLE",
"state": "NC",
"postal_code": "285460201",
"telephone_number": "910-667-3000",
"fax_number": "910-338-0965"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NOVANT HEALTH MEDICAL GROUP NC COASTAL REGION SPECIALTY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-10-07",
"last_updated": "2026-10-07",
"certification_date": "2026-10-07",
"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": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Novant Health Cancer Institute",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Jacksonville, NC
- North Carolina CVS Pharmacy LLC (CVS Pharmacy #05585)
- North Carolina Inpatient Medicine Associates PLLC
- Northwoods Drug Co Inc
- Novant Health Medical Group Coastal Region, LLC (Novant Health Family Medicine Jacksonville)
- Novant Health Medical Group Coastal Region, LLC (NHMGCR Family Medicine)
- Maria De Fatima Novo, RBT
- Justine Nuckols, ATC
- Nuday Companion Care Services
- James Jay Nunalee Jr., PHARMD
- Austin Uzoma Nwameme, B-PHARM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.