Active NPI
Novant Health Medical Group NC Coastal Region Specialty, LLC
Doing business as Novant Health UNC Children's
- Pediatrics Physician
- Wilmington, NC
National Provider Identifier
1972400810
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- Legal business name
- NOVANT HEALTH MEDICAL GROUP NC COASTAL REGION SPECIALTY, LLC
- Doing business as
- Novant Health UNC Children's
- Practice address
- 2131 S 17TH St
Wilmington, NC 28401-7407 - Phone
- (910) 667-4620
- Fax
- (910) 667-4639
- NPI assigned
- Oct 23, 2026
- Last updated
- Oct 23, 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
- (704) 316-6081
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | Primary | ||
| Pediatric Cardiology Physician | 2080P0202X | |||
| Pediatric Urology Physician | 2088P0231X |
Addresses
Primary practice location
2131 S 17TH St
Wilmington, NC 28401-7407
Mailing address
PO Box 604532
Charlotte, NC 28260-4532
Other practice location 1
510 Carolina Bay Dr Ste 200
Wilmington, NC 28403-2046
Phone (910) 662-8888
Other practice location 2
2000 Brabham Ave
Jacksonville, NC 28546-0201
Phone (910) 662-8888
Other practice location 3
109 Scotts Hill Medical Dr Ste 204
Wilmington, NC 28411-8079
Phone (910) 662-8888
Other practice location 4
20 Medical Campus Dr NW Ste 205
Supply, NC 28462-4094
Phone (910) 662-8888
Other names 1
- Novant Health UNC Children's
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1792713600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1792713600000",
"number": "1972400810",
"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": "2131 S 17TH ST",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284017407",
"telephone_number": "910-667-4620",
"fax_number": "910-667-4639"
}
],
"practiceLocations": [
{
"address_1": "510 Carolina Bay Dr Ste 200",
"address_purpose": "LOCATION",
"city": "Wilmington",
"state": "NC",
"postal_code": "284032046",
"country_code": "US",
"telephone_number": "910-662-8888",
"fax_number": "910-662-8906",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2000 Brabham Ave",
"address_purpose": "LOCATION",
"city": "Jacksonville",
"state": "NC",
"postal_code": "285460201",
"country_code": "US",
"telephone_number": "910-662-8888",
"fax_number": "910-662-8906",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "109 Scotts Hill Medical Dr Ste 204",
"address_purpose": "LOCATION",
"city": "Wilmington",
"state": "NC",
"postal_code": "284118079",
"country_code": "US",
"telephone_number": "910-662-8888",
"fax_number": "910-662-8906",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "20 Medical Campus Dr NW Ste 205",
"address_purpose": "LOCATION",
"city": "Supply",
"state": "NC",
"postal_code": "284624094",
"country_code": "US",
"telephone_number": "910-662-8888",
"fax_number": "910-777-5031",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "NOVANT HEALTH MEDICAL GROUP NC COASTAL REGION SPECIALTY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-10-23",
"last_updated": "2026-10-23",
"certification_date": "2026-10-23",
"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": "704-316-6081"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": true
},
{
"code": "2080P0202X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Cardiology",
"state": null,
"license": null,
"primary": false
},
{
"code": "2088P0231X",
"taxonomy_group": "",
"desc": "Urology, Pediatric Urology",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Novant Health UNC Children's",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Wilmington, NC
- Novant Health Medical Group NC Coastal Region Specialty, LLC (Novant Health Infectious Disease Specialists)
- Novant Health Medical Group NC Coastal Region Specialty, LLC (NH Coastal Neurosciences)
- Novant Health Medical Group NC Coastal Region Specialty, LLC (NH Coastal Cancer Clinics)
- Novant Health Medical Group NC Coastal Region Specialty, LLC (Novant Health Inpatient Psychiatry)
- Novant Health Medical Group NC Coastal Region Specialty, LLC (Novant Health Inpatient Rehabilitation)
- Novant Health Medical Group NC Coastal Region Specialty, LLC (Novant Health Cancer Institute)
- Novant Health Medical Group NC Coastal Region Specialty, LLC (Novant Health Neurology)
- Novant Health New Hanover Regional Medical Center LLC
- Novant Health New Hanover Regional Medical Center LLC (NH NHRMC Specialty Pharmacy)
- Novant Health New Hanover Regional Medical Center LLC (NH NHRMC ED North Pharmacy)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.