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COASTAL CANCER CARE, LLC
NPI 1205104783
Radiology - Radiation Oncology in Savannah, GA

Active since December 12, 2011
4700 WATERS AVE, SAVANNAH, GA 31404(912) 350-8490 Get Directions Write a Review

NPPES record last updated: May 5, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 5, 2026, Apr 27, 2026, Mar 20, 2026 (3 updates tracked since 2026).

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

NPI1205104783
Entity TypeOrganization
Primary Taxonomy2085R0001X
Legal Business NameCOASTAL CANCER CARE, LLC
Location Address4700 WATERS AVESavannah, GA 31404-6220
Mailing AddressPo Box 13219Durham, NC 27709-3219 · (912) 350-8490 · Fax (919) 354-2936
Phone(912) 350-8490
Organization SubpartNo
Authorized OfficialAaron PedersonOwner · (912) 350-8490
Enumeration DateDecember 12, 2011
Last NPPES UpdateMay 5, 20263 updates tracked since enumeration
NPPES CertifiedMay 5, 2026
✔ NPI 1205104783 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Radiation OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0001X
Definition
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
4700 WATERS AVE, Savannah, GA 31404
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Other Identifiers 1

Medicaid003135119AGA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KRISTEN BEELER DO
Pediatrics (Physician Nutrition Specialist)
4700 WATERS AVE
SAVANNAH, GA 31404
Chatham County (912) 350-8000
ERIN NICOLLE JOHNSON MD
Student in an Organized Health Care Education/Training Program
4700 WATERS AVE
SAVANNAH, GA 31404
Chatham County (912) 350-8000
DR. RAMON VERNON MEGUIAR M.D.
Obstetrics & Gynecology
4700 WATERS AVE, SUITE CAM 500
SAVANNAH, GA 31404
Chatham County (912) 350-9456
BETHANY LANDIS STEARNS ATC
Specialist/Technologist (Athletic Trainer)
4700 WATERS AVE
SAVANNAH, GA 31404
Chatham County (912) 350-8000
JEAN TOFFEY DO
General Practice
4700 WATERS AVE
SAVANNAH, GA 31404
Chatham County (912) 350-7573
DR. KINHTU LIEN MD
Student in an Organized Health Care Education/Training Program
4700 WATERS AVE
SAVANNAH, GA 31404
Chatham County (912) 350-7573
SAVANNAH MULTISPECIALTY ASSOCIATES, LLC
Surgery (Surgical Critical Care)
4700 WATERS AVE
SAVANNAH, GA 31404
Chatham County (912) 350-8000
BRADLEY POST
Emergency Medicine
4700 WATERS AVE
SAVANNAH, GA 31404
Chatham County (912) 350-3849

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.

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 3 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.