J H Fairbanks MD PLLC
NPI 1336209550 · Orthopaedic Surgery Physician · Vidalia, LA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
J H Fairbanks MD PLLC is a Orthopaedic Surgery Physician organization in Vidalia, LA (NPI 1336209550).
Provider details
- NPI number
- 1336209550
- Entity type
- Organization
- Primary specialty
- Orthopaedic Surgery PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- J H Fairbanks MD PLLC
- Organization subpart
- Yes
- Authorized official
- Angel Nugent, Manager(318) 336-2212
- License
- 15703 (MS)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Other name
- Riverpark Sports Medicine and Physical Therapy
Registry dates
- Enumerated
- 2006-12-11
- Last updated
- 2023-07-03
- Certified
- 2023-07-03
Frequently asked questions
- What is J H Fairbanks MD PLLC's NPI number?
- J H Fairbanks MD PLLC's National Provider Identifier (NPI) is 1336209550, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is J H Fairbanks MD PLLC?
- J H Fairbanks MD PLLC is classified in the NPPES registry as Orthopaedic Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is J H Fairbanks MD PLLC located?
- J H Fairbanks MD PLLC's practice location on file with NPPES is 107 Front St, Vidalia, LA 39120.
- What is J H Fairbanks MD PLLC's phone number?
- The practice phone number listed in the NPPES registry for J H Fairbanks MD PLLC is (318) 336-2212.
- Does J H Fairbanks MD PLLC accept Medicare?
- J H Fairbanks MD PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for J H Fairbanks MD PLLC?
- The authorized official listed on J H Fairbanks MD PLLC's NPPES record is Angel Nugent, Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is J H Fairbanks MD PLLC's NPI active?
- Yes — J H Fairbanks MD PLLC's NPI (1336209550) is active in the NPPES registry as of the last update on 2023-07-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.