COASTAL CANCER CARE, LLC
NPI 1205104783
Radiology - Radiation Oncology in Savannah, GA
About Coastal Cancer Care, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
COASTAL CANCER CARE, LLC (NPI 1205104783) is a healthcare organization registered as a radiation oncology in Savannah, Georgia and active in the NPI registry since December 2011. The organization lists Aaron Pederson, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Coastal Cancer Care, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
5Medicare enrollment records show 5 clinicians reassign Medicare billing to Coastal Cancer Care, LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 4 within 10 miles. They are listed nearest first.
Clinicians, nearest first (5)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Coastal Cancer Care, LLC's NPI number?
The NPI number for Coastal Cancer Care, LLC is 1205104783. It was assigned to this organization in the NPPES registry on December 12, 2011.
Where is Coastal Cancer Care, LLC located?
Coastal Cancer Care, LLC is located at 4700 Waters Ave, Savannah, GA 31404. The listed phone number is (912) 350-8490.
What is Coastal Cancer Care, LLC's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Radiation Oncology, with taxonomy code 2085R0001X.
Is Coastal Cancer Care, LLC enrolled in Medicare?
Yes. Coastal Cancer Care, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Coastal Cancer Care, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Coastal Cancer Care, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Radiation Oncology (4) and Nurse Practitioner (1). Of these, 1 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Coastal Cancer Care, LLC was last updated on May 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Coastal Cancer Care, Llc · NPI 1205104783
Radiation Oncology organization in Savannah, Georgia. Organization record, active in the CMS NPPES registry since December 12, 2011.
## Identity
- **NPI:** 1205104783 (Entity type: Organization)
- **Enumerated:** December 12, 2011
- **Primary specialty:** Radiology - Radiation Oncology · taxonomy 2085R0001X
- **Organization subpart:** No
- **Authorized official:** Aaron Pederson, OWNER
## Practice location
- **Address:** 4700 WATERS AVE, Savannah, GA 31404-6220
- **Phone:** (912) 350-8490
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 5 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Radiation Oncology (4), Nurse Practitioner (1); 1 practice at this address and 4 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 5, 2026
- **Other identifiers:** Medicaid 003135119A (GA)
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Source: [NPI Profile](https://npiprofile.com/npi/1205104783) · Data from the CMS NPPES public registry.