NPIMap

Organization Active NPI

Novant Health Medical Group Coastal Region, LLC

Doing business as Cape Fear Heart Associates

  • Cardiovascular Disease Physician
  • Wilmington, NC
National Provider Identifier
1982280285
Registry record updated Nov 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
NOVANT HEALTH MEDICAL GROUP COASTAL REGION, LLC
Doing business as
Cape Fear Heart Associates
Novant Health Heart & Vascular
Practice address
1415 Physicians Dr
Wilmington, NC 28401-7338
Phone
(910) 662-9500
NPI assigned
Mar 18, 2021
Last updated
Nov 21, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2025

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

Authorized official

Name
Leea Jeanine Walton
Title
Enrollment Manager
Phone
(336) 515-7085

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X Primary

Addresses

Primary practice location

1415 Physicians Dr
Wilmington, NC 28401-7338

Mailing address

PO Box 936857
Atlanta, GA 31193-6857
Phone (910) 662-9500

Other practice location 1

584 Hospital Dr NE Unit E
Bolivia, NC 28422-0020
Phone (910) 662-9500

Other practice location 2

1411 Physicians Dr
Wilmington, NC 28401-7338
Phone (910) 343-0811

Other practice location 3

257 Hospital Drive
Ste 201
Bolivia, NC 28422-8665
Phone (910) 662-9500

Other practice location 4

3009 Medical Plaza Ln
Southport, NC 28461-5194
Phone (910) 662-9500

Other practice location 5

109 Scotts Hill Medical Dr
Ste 204
Wilmington, NC 28411
Phone (910) 662-9500

Other practice location 6

109 Scotts Hill Medical Dr.
Ste 204
Wilmington, NC 28411
Phone (910) 662-9500

Other practice location 7

257 Hospital Drive
Ste 201
Bolivia, NC 28422-8665
Phone (910) 662-9500

Other practice location 8

800 Jefferson St Ste 112
Whiteville, NC 28472-3702
Phone (910) 662-9500

Other practice location 9

3009 Medical Plaza Ln
Southport, NC 28461-5194
Phone (910) 662-9500

Other practice location 10

2000 Brabham Ave
Jacksonville, NC 28546-0201
Phone (910) 662-9500

Other names 2

  • Cape Fear Heart Associates Doing business as
  • Novant Health Heart & Vascular Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20210408000285 NC Part B Supplier - Clinic/Group Practice 2860809936 Receives reassigned benefits from 798 practitioners
This NPI is an additional NPI on the enrollment
Practice locations: Wilmington, NC; Wilmington, NE; Boivia, NC; Bolivia, NC; Burgaw, NC; Carolina Shores, NC; Jacksonville, NC; Leland, NC…
O20260504007865 NC DME Supplier - Multi-Specialty - Physician 2860809936 Practice locations: Wilmington, NC

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D0998638Novant Health Heart & Vascular Institute1415 Physicians Drive, Wilmington, NC 28401Certificate of waiverApr 21, 2028

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 34

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 34

NPI Registry JSON

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

{
    "created_epoch": "1616025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763683200000",
    "number": "1982280285",
    "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": "910-662-9500",
            "fax_number": "910-662-9501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 PHYSICIANS DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284017338",
            "telephone_number": "910-662-9500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "584 Hospital Dr NE Unit E",
            "address_purpose": "LOCATION",
            "city": "Bolivia",
            "state": "NC",
            "postal_code": "284220020",
            "country_code": "US",
            "telephone_number": "910-662-9500",
            "fax_number": "910-662-9501",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1411 PHYSICIANS DR",
            "address_purpose": "LOCATION",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284017338",
            "country_code": "US",
            "telephone_number": "910-343-0811",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "257 Hospital Drive",
            "address_2": "Ste 201",
            "address_purpose": "LOCATION",
            "city": "Bolivia",
            "state": "NC",
            "postal_code": "284228665",
            "country_code": "US",
            "telephone_number": "910-662-9500",
            "fax_number": "910-662-9501",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3009 Medical Plaza Ln",
            "address_purpose": "LOCATION",
            "city": "Southport",
            "state": "NC",
            "postal_code": "284615194",
            "country_code": "US",
            "telephone_number": "910-662-9500",
            "fax_number": "910-662-9501",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "109 Scotts Hill Medical Dr",
            "address_2": "Ste 204",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "NC",
            "postal_code": "28411",
            "country_code": "US",
            "telephone_number": "910-662-9500",
            "fax_number": "910-662-9501",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "109 Scotts Hill Medical Dr.",
            "address_2": "Ste 204",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "NC",
            "postal_code": "28411",
            "country_code": "US",
            "telephone_number": "910-662-9500",
            "fax_number": "910-662-9501",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "257 Hospital Drive",
            "address_2": "Ste 201",
            "address_purpose": "LOCATION",
            "city": "Bolivia",
            "state": "NC",
            "postal_code": "284228665",
            "country_code": "US",
            "telephone_number": "910-662-9500",
            "fax_number": "910-662-9501",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "800 Jefferson St Ste 112",
            "address_purpose": "LOCATION",
            "city": "Whiteville",
            "state": "NC",
            "postal_code": "284723702",
            "country_code": "US",
            "telephone_number": "910-662-9500",
            "fax_number": "910-662-9501",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3009 Medical Plaza Ln",
            "address_purpose": "LOCATION",
            "city": "Southport",
            "state": "NC",
            "postal_code": "284615194",
            "country_code": "US",
            "telephone_number": "910-662-9500",
            "fax_number": "910-662-9501",
            "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": "910-662-9500",
            "fax_number": "910-662-9501",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NOVANT HEALTH MEDICAL GROUP COASTAL REGION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-18",
        "last_updated": "2025-11-21",
        "certification_date": "2025-11-21",
        "status": "A",
        "authorized_official_last_name": "WALTON",
        "authorized_official_first_name": "LEEA",
        "authorized_official_middle_name": "JEANINE",
        "authorized_official_title_or_position": "ENROLLMENT MANAGER",
        "authorized_official_telephone_number": "336-515-7085"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cape Fear Heart Associates",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Cape Fear Heart Associates",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Novant Health Heart & Vascular",
            "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 Nov 21, 2025; 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.