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Organization

Novant Health Medical Group, LLC

NPI Record: ActivePsychiatry & Neurology — Psychiatry
NPI1124579750
Shallotte, North Carolina

Provider's NPPES record last updated: June 24, 2024

Overview

Entity Type
Organization
NPI
1124579750
Primary Specialty
Psychiatry & Neurology — Psychiatry
Practice Location
Shallotte, North Carolina
Organization Subpart
No

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 20, 2026, 4:33 PM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Psychiatry & Neurology

    Psychiatry

    Allopathic & Osteopathic Physicians

    Primary

    A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

    Taxonomy code 2084P0800X
  • Psychologist

    Behavioral Health & Social Service Providers

    A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

    Taxonomy code 103T00000X

Practice Locations

Practice Location

512 Village Rd Ste 104

Shallotte, North Carolina 28470-3409

Phone: (910) 721-4200

Additional Practice Location

204 Smith Ave

Shallotte, North Carolina 28470-4458

Phone: (910) 721-4200

Fax: (910) 721-4209

Additional Practice Location

584 Hospital Dr Ne

Suite A

Bolivia, North Carolina 28422-0019

Phone: (704) 316-7585

Fax: (704) 338-6422

Other Names

  • Novant Health Psychiatric MedicineReported August 17, 2021
  • Novant Health Psychiatric MedicineReported October 19, 2016

Record Information

Enumeration Date
October 19, 2016
Provider's NPPES Record Last Updated
June 24, 2024
Certification Date
June 24, 2024
NPISignal NPPES Dataset
August 2026

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