Organization Active NPI

Carolina Surgical Oncology, PC

  • Surgical Oncology Physician
  • Statesboro, GA
National Provider Identifier
1194742288
Registry record updated Oct 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Oncology PhysicianTaxonomy code 2086X0206X
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, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2019

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)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X 27417 SC
Surgical Oncology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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

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.

Verify at the official NPI Registry.