OrganizationActive
Fairburn Southpark Medical and Surgical Clinic
NPI 1780739318 · Clinic/Center · Fairburn, GA
Fairburn Southpark Medical and Surgical Clinic is a Clinic/Center organization in Fairburn, GA (NPI 1780739318).
Provider details
- NPI number
- 1780739318
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Renato Souza, President Treasurer(770) 964-9759
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(90/100 index)
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
204 Senoia Rd
Fairburn, GA 30213-1536
Phone: (770) 964-9759
Fax: (770) 964-7001
Street-level locationGet directions
Mailing address
204 Senoia Rd
Fairburn, GA 30213-1536
Other names (DBA / former)
- Former legal business name
- R.c.souza, Md,pc
Registry dates
- Enumerated
- 2007-01-24
- Last updated
- 2020-08-22
Frequently asked questions
- What is Fairburn Southpark Medical and Surgical Clinic's NPI number?
- Fairburn Southpark Medical and Surgical Clinic's National Provider Identifier (NPI) is 1780739318, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Fairburn Southpark Medical and Surgical Clinic?
- Fairburn Southpark Medical and Surgical Clinic is classified in the NPPES registry as Clinic/Center (Ambulatory Health Care Facilities).
- Where is Fairburn Southpark Medical and Surgical Clinic located?
- Fairburn Southpark Medical and Surgical Clinic's practice location on file with NPPES is 204 Senoia Rd, Fairburn, GA 30213-1536.
- What is Fairburn Southpark Medical and Surgical Clinic's phone number?
- The practice phone number listed in the NPPES registry for Fairburn Southpark Medical and Surgical Clinic is (770) 964-9759.
- Who is the authorized official for Fairburn Southpark Medical and Surgical Clinic?
- The authorized official listed on Fairburn Southpark Medical and Surgical Clinic's NPPES record is Renato Souza, President Treasurer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Fairburn Southpark Medical and Surgical Clinic's NPI active?
- Yes — Fairburn Southpark Medical and Surgical Clinic's NPI (1780739318) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.