2406 CANCER CARE LLC – NPI #1215703046
Urology

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

2406 CANCER CARE LLC is an urologist located in DUBLIN, GA. NPPES has assigned the NPI number 1215703046 to 2406 CANCER CARE LLC on December 04, 2023. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 208800000X from the Health Care Provider Taxonomy code set, which is classified as Urology.

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
1215703046
Enumeration Date

(more than 2 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
1000 HILLCREST PKWY
DUBLIN, GA 31021-4208
Phone: (478) 334-6964 Fax: (478) 334-2800
Mailing address
PO BOX 96465
CHARLOTTE, NC 28296-0465
Phone: (478) 272-2255 Fax:
Organization Subpart
Yes - 2406 CANCER CARE LLC is subpart of another organization.
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
208800000X
- Urology (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.