Coastal Cancer Care, LLC
NPI 1205104783 · Radiation Oncology Physician · Savannah, GA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Coastal Cancer Care, LLC is a Radiation Oncology Physician organization in Savannah, GA (NPI 1205104783).
Provider details
- NPI number
- 1205104783
- Entity type
- Organization
- Primary specialty
- Radiation Oncology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Aaron Pederson, Owner(912) 350-8490
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2011-12-12
- Last updated
- 2026-05-05
- Certified
- 2026-05-05
Frequently asked questions
- What is Coastal Cancer Care, LLC's NPI number?
- Coastal Cancer Care, LLC's National Provider Identifier (NPI) is 1205104783, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Coastal Cancer Care, LLC?
- Coastal Cancer Care, LLC is classified in the NPPES registry as Radiation Oncology Physician (Allopathic & Osteopathic Physicians).
- Where is Coastal Cancer Care, LLC located?
- Coastal Cancer Care, LLC's practice location on file with NPPES is 4700 Waters Ave, Savannah, GA 31404-6220.
- What is Coastal Cancer Care, LLC's phone number?
- The practice phone number listed in the NPPES registry for Coastal Cancer Care, LLC is (912) 350-8490.
- Does Coastal Cancer Care, LLC accept Medicare?
- Coastal Cancer Care, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Coastal Cancer Care, LLC?
- The authorized official listed on Coastal Cancer Care, LLC's NPPES record is Aaron Pederson, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Coastal Cancer Care, LLC's NPI active?
- Yes — Coastal Cancer Care, LLC's NPI (1205104783) is active in the NPPES registry as of the last update on 2026-05-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.