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Fairburn Southpark Medical and Surgical Clinic

Clinic/Center in Fairburn, GA · enumerated 2007 · authorized official Renato Souza, President Treasurer.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1780739318

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Registry record

Entity type Organization (Type 2)
Legal business name Fairburn Southpark Medical and Surgical Clinic
Other name <Unavail>
Practice address 204 Senoia Rd, Fairburn, GA, 30213
Phone (770) 964-9759
Fax (770) 964-7001
Enumeration date Jan 24, 2007
Last updated in NPPES Aug 22, 2020

Taxonomy & classification

261Q00000X Clinic/Center Ambulatory Health Care Facilities Primary

Authorized official

Name Renato Souza
Title President Treasurer
Phone (770) 964-9759

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Fairburn Southpark Medical and Surgical Clinic?
The NPI for Fairburn Southpark Medical and Surgical Clinic is 1780739318, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Fairburn Southpark Medical and Surgical Clinic?
NPPES lists Renato Souza (President Treasurer) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-08-22.