Active NPI
Carolina Surgical Oncology, PC
- Surgical Oncology Physician
- Statesboro, GA
National Provider Identifier
1194742288
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Oncology Physician
- Legal business name
- CAROLINA SURGICAL ONCOLOGY, PC
- Practice address
- 1058 Bermuda Run
Statesboro, GA 30458-0858 - Phone
- (864) 580-8033
- Fax
- (864) 349-2145
- NPI assigned
- Jul 16, 2006
- Last updated
- Oct 29, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Raul Nelson Lugo, MD
- Title
- President
- Phone
- (864) 580-8033
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 27417 | SC | |
| Surgical Oncology Physician | 2086X0206X | Primary |
Addresses
Primary practice location
1058 Bermuda Run
Statesboro, GA 30458-0858
Mailing address
1 S College St
Statesboro, GA 30459-1807
Phone (864) 580-8033
National Provider Directory
National Provider DirectoryLocations
385 Serpentine Dr
Ste 1
Spartanburg, SC 29303
385 Serpentine Dr
Ste A
Spartanburg, SC 29303
Phone (864) 327-8214
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153008000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1572307200000",
"number": "1194742288",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 S COLLEGE ST",
"city": "STATESBORO",
"state": "GA",
"postal_code": "304591807",
"telephone_number": "864-580-8033",
"fax_number": "864-349-2145"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1058 BERMUDA RUN",
"city": "STATESBORO",
"state": "GA",
"postal_code": "304580858",
"telephone_number": "864-580-8033",
"fax_number": "864-349-2145"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAROLINA SURGICAL ONCOLOGY, PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-16",
"last_updated": "2019-10-29",
"status": "A",
"authorized_official_last_name": "LUGO",
"authorized_official_first_name": "RAUL",
"authorized_official_middle_name": "NELSON",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "864-580-8033",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist",
"state": "SC",
"license": "27417",
"primary": false
},
{
"code": "2086X0206X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery, Surgical Oncology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Statesboro, GA
- John Domenic Capachione, LPC
- Presley Caplinger
- Kayla Capotosti
- Cardiovascular Associates of Eastern Georgia
- Thomas Carico, MD
- Breanna Morris Carter, M.ED. LPC NCC
- Elyse Bridget Casher, MSW, LCSW
- Stephen Cauley, O.D.
- Cedar Surgical Associates, PC
- Cesar Clinic, LLC (East Georgia Gastroenterology Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.