MEDICARE: CENTRAL GEORGIA CANCER CARE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist

General Provider Information

NPI Number	:	1598834806
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CENTRAL GEORGIA CANCER CARE

Provider Business Mailing Address
First Line	:	5430 BOWMAN RD
Second Line	:
City	:	MACON
State	:	GA
Zip	:	31210-8879
Country	:	US
Telephone Number	:	478-743-7068
Fax Number	:	478-741-1354

Provider Business Practice Location Address
First Line	:	5430 BOWMAN RD
Second Line	:
City	:	MACON
State	:	GA
Zip	:	31210-8879
Country	:	US
Telephone Number	:	478-743-7068
Fax Number	:	478-741-1354

Authorized Official
Title or Position	:	ASSOCIATE DIRECTOR OF OPERATIONS
Name	:	MS. ANDREA M. BENNETT
Credential	:
Telephone Number	:	478-314-1658

Provider Enumeration Date	:	11/08/2006
Last Update Date	:	06/01/2026

Similar Medicare Providers

1679689301 — BRADLEY T SUMRALL MD
Practice Location Address:

5430 BOWMAN RD
MACON, GA
31210-8879

Practice Phone: 478-743-7068
Practice Fax: 478-741-1354

1699096388 — HARRY FRANCIS MOORE JR. M.D.
Practice Location Address:

5430 BOWMAN RD
MACON, GA
31210-8879

Practice Phone: 478-743-7068
Practice Fax: 478-741-1354

1083234322 — STACI THOMAS BENNETT FNP-C
Practice Location Address:

5430 BOWMAN RD
MACON, GA
31210-8879

Practice Phone: 478-743-7068
Practice Fax: 478-741-1354

1326716796 — CASSIE A BUGAY FNP-C
Practice Location Address:

5430 BOWMAN RD
MACON, GA
31210-8879

Practice Phone: 478-743-7068
Practice Fax: 478-741-1354

1568473429 — DR. AMOS ANDERSON M.D.
Practice Location Address:

5400 BOWMAN RD , SUITE 100
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31210-8879

Practice Phone: 478-745-6576
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1699786590 — UROLOGY SPECIALISTS OF GEORGIA
Practice Location Address:

5400 BOWMAN RD , 100
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Directions to “CENTRAL GEORGIA CANCER CARE ” Practice Location

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