2406 CANCER CARE LLC – NPI #1619682515
Radiology

A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.

Health Care Provider Taxonomy Code for Radiology

2406 CANCER CARE LLC is a radiologist located in DUBLIN, GA. NPPES has assigned the NPI number 1619682515 to 2406 CANCER CARE LLC on January 16, 2023. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2085R0001X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Radiation Oncology

The NPI profile was last updated on Dec 03, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for 2406 CANCER CARE LLC below.

NPI Profile for
2406 CANCER CARE LLC

NPI Number
1619682515
Enumeration Date

(more than 3 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
2406 CANCER CARE LLC
Primary location
2406 BELLEVUE RD STE 7
DUBLIN, GA 31021-2842
Phone: (478) 272-2255 Fax:
Mailing address
PO BOX 96465
CHARLOTTE, NC 28296-0465
Phone: (478) 272-2255 Fax:
Organization Subpart
No
Authorized Official
ERICH RANDOLPH
AUTHORIZED OFFICIAL
Phone: (404) 234-6473
Updated
Certification Date
Dec 03, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2085R0001X
- Radiology / Radiation Oncology (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.