Samuel Fairbanks, DO
NPI 1912407511 · Diagnostic Radiology Physician · Fort Moore, GA
Samuel Fairbanks, DO is a Diagnostic Radiology Physician provider in Fort Moore, GA (NPI 1912407511).
Provider details
- NPI number
- 1912407511
- Entity type
- Individual
- Primary specialty
- Diagnostic Radiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- License
- 0102205769 (VA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 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
Registry dates
- Enumerated
- 2018-02-20
- Last updated
- 2023-08-01
- Certified
- 2023-08-01
Frequently asked questions
- What is Samuel Fairbanks's NPI number?
- Samuel Fairbanks's National Provider Identifier (NPI) is 1912407511, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Samuel Fairbanks's specialty?
- Samuel Fairbanks is listed in the NPPES registry with a primary specialty of Diagnostic Radiology Physician (Allopathic & Osteopathic Physicians).
- Where is Samuel Fairbanks located?
- Samuel Fairbanks's practice location on file with NPPES is 6600 Van Aalst Blvd, Fort Moore, GA 31905-2102.
- What is Samuel Fairbanks's phone number?
- The practice phone number listed in the NPPES registry for Samuel Fairbanks is (762) 408-2001.
- Is Samuel Fairbanks's NPI active?
- Yes — Samuel Fairbanks's NPI (1912407511) is active in the NPPES registry as of the last update on 2023-08-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.