OrganizationActive
Novant Health Medical Group Coastal Region, LLC
NPI 1801565684 · Hematology & Oncology Physician · Carolina Shores, NC
Provider details
- NPI number
- 1801565684
- Entity type
- Organization
- Primary specialty
- Hematology & Oncology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Shala Davis, Enrollment Manager(704) 303-7517
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Gynecologic Oncology Physician207VX0201X
Allopathic & Osteopathic Physicians
Profile Score
Established profile(71/100 index)
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
3 documented practice locations
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
75 Emerson Bay Rd Ste 104
Carolina Shores, NC 28467-2498
Phone: (910) 667-4283
Fax: (910) 338-0965
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 936857
Atlanta, GA 31193-6857
Other names (DBA / former)
- Doing business as
- Novant Health Cancer Institute
- Doing business as
- Novant Health Cancer Institute
Additional practice locations (2)
- 2000 Brabham AveJacksonville, NC 28546-0201Phone: (910) 667-3000
- 2131 S 17th StWilmington, NC 28401-7407Phone: (910) 667-3000Fax: (910) 815-5464
Registry dates
- Enumerated
- 2021-09-07
- Last updated
- 2025-09-18
- Certified
- 2025-09-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.