Novant Health Medical Group Coastal Region, LLC
NPI 1710647698 · Pediatric Surgery Physician · Wilmington, NC
Novant Health Medical Group Coastal Region, LLC is a Pediatric Surgery Physician organization in Wilmington, NC (NPI 1710647698).
Provider details
- NPI number
- 1710647698
- Entity type
- Organization
- Primary specialty
- Pediatric Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Shala Davis, Rcs Manager(704) 303-7517
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Novant Health Pediatric Surgery
Registry dates
- Enumerated
- 2021-12-20
- Last updated
- 2021-12-20
- Certified
- 2021-12-14
Frequently asked questions
- What is Novant Health Medical Group Coastal Region, LLC's NPI number?
- Novant Health Medical Group Coastal Region, LLC's National Provider Identifier (NPI) is 1710647698, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Novant Health Medical Group Coastal Region, LLC?
- Novant Health Medical Group Coastal Region, LLC is classified in the NPPES registry as Pediatric Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Novant Health Medical Group Coastal Region, LLC located?
- Novant Health Medical Group Coastal Region, LLC's practice location on file with NPPES is 2131 S 17th St, Wilmington, NC 28401-7407.
- What is Novant Health Medical Group Coastal Region, LLC's phone number?
- The practice phone number listed in the NPPES registry for Novant Health Medical Group Coastal Region, LLC is (910) 667-5830.
- Who is the authorized official for Novant Health Medical Group Coastal Region, LLC?
- The authorized official listed on Novant Health Medical Group Coastal Region, LLC's NPPES record is Shala Davis, Rcs Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Novant Health Medical Group Coastal Region, LLC's NPI active?
- Yes — Novant Health Medical Group Coastal Region, LLC's NPI (1710647698) is active in the NPPES registry as of the last update on 2021-12-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.