2406 Cancer Care LLC
Organization Active NPI Radiation Oncology Physician · Dublin, GA
NPI 1619682515 · NPPES record last updated Dec 3, 2025
Key facts
- NPI
- 1619682515
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Radiation Oncology Physician 2085R0001X
- Legal business name
- 2406 CANCER CARE LLC
- Practice address
- 2406 Bellevue Rd Ste 7
Dublin, GA 31021-2842 - Phone
- (478) 272-2255
- NPI assigned
- Jan 16, 2023
- Organization subpart
- No
Authorized official
- Name
- Erich Graham Randolph
- Title
- Authorized Official
- Phone
- (404) 234-6473
Other NPIs on the same Medicare enrollment 1
Subparts reporting this organization as parent 1
Corporate family (same tax ID) 1
Practitioners 3
-
Aaron O Williams, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230210000198 | GA | Part B Supplier - Clinic/Group Practice | 7719359249 |
Receives reassigned benefits from 3 practitioners 1 other NPI on this enrollment Practice locations: Dublin, GA |
National Provider Directory
- Tax ID family
- 2406 Cancer Care LLC
Locations
2406 Bellevue Rd
Ste 7
Dublin, GA 31021
Phone (478) 272-2255
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician |
2085R0001X | Yes |
Addresses
Primary practice location
2406 Bellevue Rd Ste 7
Dublin, GA 31021-2842
Mailing address
PO Box 96465
Charlotte, NC 28296-0465
Phone (478) 272-2255
Other providers in Dublin, GA
- 1St Genesis Treatment Center Inc
- 2406 Cancer Care LLC
- A Plus Physical Therapy
- Gregorio A Abad
- Abc Behavioral Therapy
- Tolulope Abe
- Absolute Love & Care LLC
All providers in Dublin, GA · Radiation Oncology Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 3, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.