NPIMap

Organization Active NPI

Satilla Cancer Treatment Centers, LLC

  • Specialist
  • Dublin, GA
National Provider Identifier
1104033463
Registry record updated Oct 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
SATILLA CANCER TREATMENT CENTERS, LLC
Practice address
2406 Bellevue Rd
#7
Dublin, GA 31021-2842
Phone
(478) 272-2255
Fax
(478) 275-9134
NPI assigned
May 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Jacqueline Lillicotch
Title
Credentialing Officer
Phone
(478) 272-2255

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

2406 Bellevue Rd
#7
Dublin, GA 31021-2842

Mailing address

2406 Bellevue Rd
#7
Dublin, GA 31021-2842
Phone (478) 272-2255

Other identifiers 4

IdentifierTypeStateIssuer
300038888AMedicaidGA
202G708768OtherGAMEDICARE PTAN
DQ2362OtherGARR MCR
11D1096814OtherGACLIA

Other names 1

  • CurePoint Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Curepoint3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318982400000",
    "number": "1104033463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2406 BELLEVUE RD",
            "address_2": "#7",
            "city": "DUBLIN",
            "state": "GA",
            "postal_code": "310212842",
            "telephone_number": "478-272-2255",
            "fax_number": "478-275-9134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2406 BELLEVUE RD",
            "address_2": "#7",
            "city": "DUBLIN",
            "state": "GA",
            "postal_code": "310212842",
            "telephone_number": "478-272-2255",
            "fax_number": "478-275-9134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SATILLA CANCER TREATMENT CENTERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2011-10-19",
        "status": "A",
        "authorized_official_last_name": "LILLICOTCH",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_title_or_position": "CREDENTIALING OFFICER",
        "authorized_official_telephone_number": "478-272-2255",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300038888A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "202G708768",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MCR",
            "identifier": "DQ2362",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "11D1096814",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CurePoint",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dublin, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.