Novant Health Medical Group Coastal Region, LLC
NPI 1629738505ActiveOrganization· Family Medicine· Jacksonville, NC
Family Medicine in Jacksonville, North Carolina, registered in NPPES in December 2021. The authorized official on file is Shala Davis, Rcs Manager.
Overview
| NPI | 1629738505 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 20, 2021 |
| Last updated in NPPES | Dec 20, 2021 |
| Certified by provider | Dec 14, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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