Novant Health Medical Group Coastal Region, LLC
NPI 1710647698ActiveOrganization· Surgery, Pediatric Surgery· Wilmington, NC
Surgery, Pediatric Surgery in Wilmington, North Carolina, registered in NPPES in December 2021. The authorized official on file is Shala Davis, Rcs Manager.
Overview
| NPI | 1710647698 |
|---|---|
| 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 |
|---|---|---|---|
| Surgery, Pediatric Surgery Primary | 2086S0120X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 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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