NPI age
8 years
Enumerated 2018-02-20
● Active
Type 1 · Individual
Samuel Fairbanks, DO
Fairbanks is 1 of 4 radiology providers in Fort Moore and 1 of 1280 in Georgia.
Primary specialty
Radiology
Licensed in
VA
1 state
Status
Active
No deactivations on record
Last NPPES update
2023-08-01
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 1280 active radiology providers in Georgia.
NPI age
8 years
↓ 11 yr below median (19 yr)
State licenses
1 state
21% of peers hold multiple states
Subspecialties
0
38% of peers hold subspecialties
NPI lifetime · 2018 → 2026
2018-02Enumerated in NPPES
2018
2026
Where they practice
Practice location
6600 Van Aalst Blvd
Fort Moore, GA 319052102
Mailing address
6600 Van Aalst Blvd
Fort Moore, GA 319052102
Specialties
-
Radiology PrimaryA radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Practice context
Part of a multi-provider practice. 115 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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