Individual provider Active NPI

Aaron Watson Pederson, MD

  • Radiation Oncology Physician
  • Savannah, GA
National Provider Identifier
1326211459
Registry record updated Jul 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
63939 Issued in GA
Practice address
4700 Waters Ave
Savannah, GA 31404
Phone
(912) 350-8490
Fax
(912) 350-8819
NPI assigned
Apr 9, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 63939 GA Primary

Addresses

Primary practice location

4700 Waters Ave
Savannah, GA 31404

Mailing address

4700 Waters Ave
PO Box 23089
Savannah, GA 31404-6220
Phone (912) 350-8490

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101021001315 GA Practitioner - Radiation Oncology 2961695903 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Loyola University of Chicago, Stritch School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Georgia Center for Cancer Care, LLCGroup PAC ID 0244501054, 2 clinicians
Coastal Cancer Care, LLCGroup PAC ID 7315182169, 2 clinicians

Practice addresses (Care Compare)

27 Coach Lee Hill Blvd
Statesboro, GA 30458-4764
Phone (912) 764-3037

4700 Waters Ave
Savannah, GA 31404-6220
Phone (912) 350-8490

Hospital & facility affiliations

  • Savannah Health Services LLC Dba Memorial Health University Medical Center Hospital, Savannah, GA, CCN 110036
  • East Georgia Regional Medical Center Hospital, Statesboro, GA, CCN 110075
  • Candler Hospital Hospital, Savannah, GA, CCN 110024

Merit-based Incentive Payment System (MIPS)

Final score
74.17 of 100Reported as group
Quality
48.33
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Cancer Care, LLC Radiation Oncology CurrentSince Jan 1, 2013 Accepting new patients
South Georgia Center for Cancer Care, LLC CurrentSince Jul 1, 2017 Accepting new patients
Savannah Radiation Cancer Care, PC Radiation Oncology Past Accepting new patients

Locations

4700 Waters Ave
Savannah, GA 31404
Phone (912) 273-1100

27 Coach Lee Hill Blvd
Statesboro, GA 30458
Phone (912) 764-3037

Interoperability endpoints

  • Direct secure messaging: apederson@ionetwork.direct.varian.com
  • Direct secure messaging: apederson@epluscancercare.direct.varian.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1207699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280188800000",
    "number": "1326211459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 WATERS AVE",
            "address_2": "PO BOX 23089",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314046220",
            "telephone_number": "912-350-8490",
            "fax_number": "912-350-8819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 WATERS AVE",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "31404",
            "telephone_number": "912-350-8490",
            "fax_number": "912-350-8819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEDERSON",
        "first_name": "AARON",
        "middle_name": "WATSON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-09",
        "last_updated": "2010-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "GA",
            "license": "63939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

Verify at the official NPI Registry.