NOVANT HEALTH GENERAL SURGERY (COLON & RECTAL) – NPI #1962082479
Surgery

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

NOVANT HEALTH GENERAL SURGERY (COLON & RECTAL) is a surgeon located in WILMINGTON, NC. NPPES has assigned the NPI number 1962082479 to NOVANT HEALTH GENERAL SURGERY (COLON & RECTAL) on April 09, 2021. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “NOVANT HEALTH GENERAL SURGERY (COLON & RECTAL)” is a dba name, the actual legal business name for this organization is NOVANT HEALTH MEDICAL GROUP COASTAL REGION, LLC. This provider is also associated with 2 additional names listed below. According to the NPI data, there are 2 additional location(s) assigned to this provider which are listed below. The primary taxonomy selected by this provider is 208600000X from the Health Care Provider Taxonomy code set, which is classified as Surgery.

The NPI profile was last updated on Dec 02, 2024. 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 GENERAL SURGERY (COLON & RECTAL) below.

NPI Profile for
NOVANT HEALTH MEDICAL GROUP COASTAL REGION, LLC

NPI Number
1962082479
Enumeration Date

(more than 5 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 GENERAL SURGERY (COLON & RECTAL)
Other name(s)
All associated names:
Doing Business As (dba)
NHRMC Physician Specialists - General Surgery Specialists - Colon & Re
Doing Business As (dba)
Novant Health General Surgery (Colon & Rectal)
Primary location
2221 S 17TH ST
WILMINGTON, NC 28401-7542
Phone: (910) 662-7720 Fax: (910) 815-0840
2 Other location(s):
2000 Brabham Ave
Jacksonville, NC 28546-0201
Phone: (910) 662-7720
Fax: (910) 815-0840
109 Scotts Hill Medical Dr.
Ste 204
Wilmington, NC 28411
Phone: (910) 662-7720
Fax: (910) 815-0840
Mailing address
PO BOX 936857
ATLANTA, GA 31193-6857
Phone: Fax:
Organization Subpart
No
Authorized Official
SHALA DAVIS
RCS MANAGER
Phone: (704) 303-7517
Updated
Certification Date
Nov 27, 2024

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
208600000X
- Surgery (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.