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SOUTH GEORGIA CENTER FOR CANCER CARE, LLC
NPI 1487180709
Clinic/Center - Oncology, Radiation in Statesboro, GA

Active since May 05, 2017
27 COACH LEE HILL BLVD., STATESBORO, GA 30458(912) 764-3037(912) 764-3829 Get Directions Write a Review

NPPES record last updated: April 28, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 28, 2026, Oct 21, 2020, Jan 15, 2019 (3 updates tracked since 2019).

About South Georgia Center For Cancer Care, Llc NPPES

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

SOUTH GEORGIA CENTER FOR CANCER CARE, LLC (NPI 1487180709), doing business as South Georgia Center For Cancer Care, is a healthcare organization registered as an oncology, radiation in Statesboro, Georgia and active in the NPI registry since May 2017. The organization lists Chaoqiang Lin, Executive Vice President, as its authorized official.

NPPES Registry Identity

NPI1487180709
Entity TypeOrganization
Primary Taxonomy261QX0203X
Legal Business NameSOUTH GEORGIA CENTER FOR CANCER CARE, LLC
Location Address27 COACH LEE HILL BLVD.Statesboro, GA 30458-4764
Mailing AddressPo Box 931884Atlanta, GA 31193-1884 · (615) 783-1254 · Fax (615) 783-1082
Phone(912) 764-3037
Fax(912) 764-3829
Organization SubpartNo
Authorized OfficialChaoqiang LinExecutive Vice President · (214) 587-4079
Enumeration DateMay 5, 2017
Last NPPES UpdateApril 28, 20263 updates tracked since enumeration
NPPES CertifiedApril 28, 2026
✔ NPI 1487180709 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Oncology, RadiationAmbulatory Health Care Facilities
Taxonomy Code261QX0203X
License✔ Licensed in GA · NONE
27 COACH LEE HILL BLVD., Statesboro, GA 30458
Open in Google Maps ↗

Other Names 1

Doing Business AsSouth Georgia Center For Cancer Care

Other Identifiers 1

Medicaid003116257AGA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

South Georgia Center For 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 South Georgia Center For Cancer Care, LLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (2)

Michael Hasselle, M.D.
Radiation Oncology
NPI 1770741928
4700 WATERS AVE
Savannah, GA 31404
(912) 350-8490
✔ PECOS✔ Accepts Medicare49 mi
Aaron Pederson, MD
Radiation Oncology
NPI 1326211459
4700 WATERS AVE
Savannah, GA 31404
(912) 350-8490
✔ PECOS✔ Accepts Medicare49 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 South Georgia Center For Cancer Care, LLC's NPI number?

The NPI number for South Georgia Center For Cancer Care, LLC is 1487180709. It was assigned to this organization in the NPPES registry on May 5, 2017. The provider is doing business as South Georgia Center for Cancer Care.

Where is South Georgia Center For Cancer Care, LLC located?

South Georgia Center For Cancer Care, LLC is located at 27 Coach Lee Hill Blvd., Statesboro, GA 30458. The listed phone number is (912) 764-3037.

What is South Georgia Center For Cancer Care, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Oncology, Radiation, with taxonomy code 261QX0203X.

Is South Georgia Center For Cancer Care, LLC enrolled in Medicare?

Yes. South Georgia Center For Cancer Care, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through South Georgia Center For Cancer Care, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Radiation Oncology, reassign their Medicare billing to South Georgia Center For 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does South Georgia Center For Cancer Care, LLC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list South Georgia Center For Cancer Care, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for South Georgia Center For Cancer Care, LLC was last updated on April 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.