Organization Active NPI

Novant Health New Hanover Regional Medical Center LLC

  • Surgery Physician
  • Wilmington, NC
National Provider Identifier
1831780139
Registry record updated Jan 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
NOVANT HEALTH NEW HANOVER REGIONAL MEDICAL CENTER LLC
Practice address
2131 S 17TH St
Wilmington, NC 28401-7407
Phone
(910) 772-9202
Fax
(910) 772-9452
NPI assigned
Jan 29, 2021
Organization subpart
No

Authorized official

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

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

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208600000X Primary

Addresses

NPPES NPI Registry

Primary practice location

2131 S 17TH St
Wilmington, NC 28401-7407

Mailing address

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

Other names 1

NPPES NPI Registry
  • NHNHRMC PHYSICIAN GROUP MAXILLOFACIAL SURGERY Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 29, 2021.

{
    "created_epoch": "1611878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611878400000",
    "number": "1831780139",
    "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": "2131 S 17TH ST",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284017407",
            "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": "2021-01-29",
        "last_updated": "2021-01-29",
        "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": "208600000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NHNHRMC PHYSICIAN GROUP MAXILLOFACIAL SURGERY",
            "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 29, 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.