South Georgia Center for Cancer Care, LLC

Primary specialty

Radiation Oncology Clinic/CenterTaxonomy code 261QX0203X

License

NONE Issued in GA

Legal business name

SOUTH GEORGIA CENTER FOR CANCER CARE, LLC

Doing business as

South Georgia Center for Cancer Care

Practice address

27 Coach Lee Hill Blvd.
Statesboro, GA 30458-4764

Phone

(912) 764-3037

Fax

(912) 764-3829

NPI assigned

May 5, 2017

Last updated

Apr 28, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Chaoqiang Lin

Title

Executive Vice President

Phone

(214) 587-4079

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• South Georgia Center for Cancer Care Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Coastal Cancer Care, LLC

  • Radiation Oncology Physician
  • Savannah, GA
  • NPI 1205104783

  Member Of

  NPD member

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael D Hasselle, M.D.

  • Radiation Oncology Physician
  • Savannah, GA
  • NPI 1770741928
  Medicare reassignment Care Compare group NPD
• Aaron Watson Pederson, MD

  • Radiation Oncology Physician
  • Savannah, GA
  • NPI 1326211459
  Medicare reassignment Care Compare group NPD
• David Hale Weems, M.D.

  • Specialist
  • Statesboro, GA
  • NPI 1063443810
  NPD

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

{
    "created_epoch": "1493942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777334400000",
    "number": "1487180709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 931884",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "311931884",
            "telephone_number": "615-783-1254",
            "fax_number": "615-783-1082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 COACH LEE HILL BLVD.",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304584764",
            "telephone_number": "912-764-3037",
            "fax_number": "912-764-3829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH GEORGIA CENTER FOR CANCER CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-05",
        "last_updated": "2026-04-28",
        "certification_date": "2026-04-28",
        "status": "A",
        "authorized_official_last_name": "LIN",
        "authorized_official_first_name": "CHAOQIANG",
        "authorized_official_title_or_position": "EXECUTIVE VICE PRESIDENT",
        "authorized_official_telephone_number": "214-587-4079",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QX0203X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oncology, Radiation",
            "state": "GA",
            "license": "NONE",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003116257A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Georgia Center for Cancer Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "South Georgia Center for Cancer Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mona Dennison Smith, NURSE PRACTITIONER
• Sierra Renee Smith, RN
• Phyllis Evon Solomon, FNP
• Thomas A. Sorbera, M.D.
• Taylor Soucy
• South Georgia Family Medicine Associates (Total Health)
• South Georgia Pediatrics, P.C.
• Southeast Lung & Critical Care Specialists
• Southeast Lung & Critical Care Specialists
• Southeast Lung & Critical Care Specialists P C (Southeast Lung Associates)

• Radiation Oncology Clinic/Center in Statesboro, GA
• Providers in Statesboro, GA by specialty
• Radiation Oncology Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.