2406 CANCER CARE LLC
NPI 1215703046
Urology in Dublin, GA

Active since December 04, 2023
1000 HILLCREST PKWY, DUBLIN, GA 31021(478) 334-2800(478) 334-2800 Get Directions Write a Review

NPPES record last updated: June 2, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 2, 2026, Dec 3, 2025, Dec 4, 2023 (3 updates tracked since 2023).

About 2406 Cancer Care Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

2406 CANCER CARE LLC (NPI 1215703046), doing business as Central Georgia Urology, is a healthcare organization registered as an urology in Dublin, Georgia and active in the NPI registry since December 2023. The organization lists Erich Graham Randolph, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1215703046
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business Name2406 CANCER CARE LLC
Location Address1000 HILLCREST PKWYDublin, GA 31021-4208
Mailing AddressPo Box 96465Charlotte, NC 28296-0465 · (478) 272-2255
Fax(478) 334-2800
Organization SubpartYes
Authorized OfficialErich Graham RandolphAuthorized Official · (404) 234-6473
Enumeration DateDecember 4, 2023
Last NPPES UpdateJune 2, 20263 updates tracked since enumeration
NPPES CertifiedJune 2, 2026
✔ NPI 1215703046 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
1000 HILLCREST PKWY, Dublin, GA 31021

Other Names 1

Doing Business AsCentral Georgia Urology

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

2406 Cancer Care Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to 2406 Cancer Care LLC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Radiation Oncology
NPI 1598703456
2406 BELLEVUE RD STE 7
Dublin, GA 31021
(478) 272-2255
✔ PECOS✔ Accepts Medicare1.4 mi
Radiation Oncology
NPI 1184691016
2406 BELLEVUE RD STE 7
Dublin, GA 31021
(478) 272-2255
✔ PECOS✔ Accepts Medicare1.4 mi

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 2406 Cancer Care LLC's NPI number?

The NPI number for 2406 Cancer Care LLC is 1215703046. It was assigned to this organization in the NPPES registry on December 4, 2023. The provider is doing business as Central Georgia Urology.

Where is 2406 Cancer Care LLC located?

2406 Cancer Care LLC is located at 1000 Hillcrest Pkwy, Dublin, GA 31021. The listed phone number is (478) 334-2800.

What is 2406 Cancer Care LLC's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is 2406 Cancer Care LLC enrolled in Medicare?

Yes. 2406 Cancer Care LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through 2406 Cancer Care LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Radiation Oncology, reassign their Medicare billing to 2406 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. Of these, 2 practice 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 2406 Cancer Care LLC was last updated on June 2, 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.