Novant Health Medical Group Coastal Region, LLC
Organization Active NPI Cardiovascular Disease Physician · Wilmington, NC
NPI 1982280285 · NPPES record last updated Nov 21, 2025
Key facts
- NPI
- 1982280285
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Cardiovascular Disease Physician 207RC0000X
- Legal business name
- NOVANT HEALTH MEDICAL GROUP COASTAL REGION, LLC
- Practice address
- 1415 Physicians Dr
Wilmington, NC 28401-7338 - Phone
- (910) 662-9500
- NPI assigned
- Mar 18, 2021
- Organization subpart
- No
Authorized official
- Name
- Leea Jeanine Walton
- Title
- Enrollment Manager
- Phone
- (336) 515-7085
Other NPIs with the same Medicare PAC ID 1
Practitioners 580
-
Darcy Jo Burgard, PA-C
-
Mary Cameron, FNP-C
-
Alexandra Grace Evans, NURSE PRACTITIONER
-
Andrea Foiles, MD
-
Lauren Gardner, NP
-
Zachary David Garrett, M.D.
-
Keith Mitchell Golden, M.D.
-
Tucker Lee Johnson, FNP
-
William Lewis, MD
-
George McLeod, MD
-
Adam Pflum, M.D.
-
Sarah Silvers, NP
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 34D0998638 | Novant Health Heart & Vascular Institute | Certificate of waiver | Apr 21, 2028 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in NC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician |
207RC0000X | Yes |
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
- Cape Fear Heart Associates
- Novant Health Heart & Vascular
Other providers in Wilmington, NC
- Novant Health Medical Group Coastal Region, LLC
- Novant Health Medical Group Coastal Region, LLC
- Novant Health Medical Group Coastal Region, LLC
- Novant Health Medical Group Coastal Region, LLC
- Novant Health Medical Group Coastal Region, LLC
- Novant Health Medical Group Coastal Region, LLC
- Novant Health Medical Group NC Coastal Region Specialty, LLC
- Novant Health Medical Group NC Coastal Region Specialty, LLC
- Novant Health New Hanover Regional Medical Center LLC
- Novant Health New Hanover Regional Medical Center LLC
All providers in Wilmington, NC · Cardiovascular Disease Physician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 21, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.