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Coastal Cancer Care, LLC

Radiation Oncology Physician in Savannah, GA · enumerated 2011 · authorized official Aaron Pederson, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1205104783

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Registry record

Entity type Organization (Type 2)
Legal business name Coastal Cancer Care, LLC
Practice address 4700 Waters Ave, Savannah, GA, 31404
Enumeration date Dec 12, 2011
Last updated in NPPES May 5, 2026

Taxonomy & classification

2085R0001X Radiation Oncology Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Aaron Pederson
Title Owner

Other identifiers

Identifier Type State Issuer
003135119A Medicaid GA -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Coastal Cancer Care, LLC?
NPPES lists Aaron Pederson (Owner) as the authorized official for this organization.
What is the NPI number for Coastal Cancer Care, LLC?
The NPI for Coastal Cancer Care, LLC is 1205104783, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-05-05.