OrganizationActive
Novant Health Medical Group Coastal Region, LLC
NPI 1962097006 · Obstetrics & Gynecology Physician · Wilmington, NC
Provider details
- NPI number
- 1962097006
- Entity type
- Organization
- Primary specialty
- Obstetrics & Gynecology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Shala Davis, Rcs Manager(704) 303-7517
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
2150 Shipyard Blvd
Wilmington, NC 28403-8052
Phone: (910) 662-9480
Fax: (910) 332-5666
Street-level locationGet directions
Mailing address
Po Box 936857
Atlanta, GA 31193-6857
Other names (DBA / former)
- Doing business as
- Nhmgcr Afm
- Doing business as
- Nhmgcr Afm
Registry dates
- Enumerated
- 2021-03-01
- Last updated
- 2021-07-19
- Certified
- 2021-07-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.