NOVANT HEALTH MICHAEL JORDAN FAMILY MEDICAL CLINIC – NPI #1306618053
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Health Care Provider Taxonomy Code for Family Medicine

NOVANT HEALTH MICHAEL JORDAN FAMILY MEDICAL CLINIC is a provider located in WILMINGTON, NC. NPPES has assigned the NPI number 1306618053 to NOVANT HEALTH MICHAEL JORDAN FAMILY MEDICAL CLINIC on October 26, 2023. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “NOVANT HEALTH MICHAEL JORDAN FAMILY MEDICAL CLINIC” is a dba name, the actual legal business name for this organization is NOVANT HEALTH MEDICAL GROUP COASTAL REGION, LLC. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 3 years ago on Nov 16, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for NOVANT HEALTH MICHAEL JORDAN FAMILY MEDICAL CLINIC below.

NPI Profile for
NOVANT HEALTH MEDICAL GROUP COASTAL REGION, LLC

NPI Number
1306618053
Enumeration Date

(more than 2 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
NOVANT HEALTH MEDICAL GROUP COASTAL REGION, LLC
Doing Business As (dba): NOVANT HEALTH MICHAEL JORDAN FAMILY MEDICAL CLINIC
Primary location
1423 GREENFIELD ST
WILMINGTON, NC 28401
Phone: (910) 662-0761 Fax:
Mailing address
PO BOX 936857
ATLANTA, GA 31193-6857
Phone: (910) 833-9100 Fax: (910) 833-9109
Organization Subpart
No
Authorized Official
LEEA WALTON
ENROLLMENT MANAGER
Phone: (336) 515-7085
Updated
Certification Date
Nov 16, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.