SANDRA L SOUZA M.D.
NPI 1043203839
Family Medicine in Dublin, GA

Q: What is Sandra Souza's NPI number?

The NPI number for Sandra Souza is 1043203839. It was assigned to this individual provider in the NPPES registry on August 26, 2005.

Q: What is Sandra Souza's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Sandra Souza was last updated on March 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 26, 2005PECOS EnrolledAccepts Medicare Assignment

2121A BELLEVUE RD, DUBLIN, GA 31021(478) 272-1190(478) 274-7628 Get Directions Write a Review

NPPES record last updated: March 9, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Sandra L Souza M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SANDRA L SOUZA M.D. (NPI 1043203839) is an individual family medicine provider in Dublin, Georgia, licensed in Georgia (039476) and active in the NPI registry since August 2005. She is enrolled in Medicare PECOS, is affiliated with Fairview Park Hospital, and is a graduate of University Of Texas Medical School At San Antonio (1993).

NPPES Registry Identity

NPI1043203839

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameSANDRA L SOUZACredential: M.D.

Location Address2121A BELLEVUE RDDublin, GA 31021-2998

Mailing Address1101 E Hillcrest PkwyDublin, GA 31021-2998 · (478) 205-5517 · Fax (478) 205-5518

Phone(478) 272-1190

Fax(478) 274-7628

Sole ProprietorNo

Medical School CMSUniversity Of Texas Medical School At San AntonioGraduated 1993

Enumeration DateAugust 26, 2005

Last NPPES UpdateMarch 9, 2026

NPPES CertifiedMarch 9, 2026

✔ NPI 1043203839 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in GA · 039476

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License 39476 (GA)

2121A BELLEVUE RD, Dublin, GA 31021

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Other Identifiers 3

Medicaid000606284HGA

Medicaid000666113DGA

Medicaid300030912AGA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Sandra L Souza M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID42388225

PECOS Enrollment IDI20081002000009

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Sandra Souza reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Community Service Board Of Middle Georgia

Same address

Mental Health (Including Community Mental Health Center)

2121A BELLEVUE RD
Dublin, GA 31021

Reassigned Medicare billing, Georgia enrollment
17 clinicians in this Medicare group

NPI 1689657637 (478) 272-1190

Grace Family Care LLC

1.0 mi

General Practice

1101 HILLCREST PKWY STE E
Dublin, GA 31021

Reassigned Medicare billing, Georgia enrollment
2 clinicians in this Medicare group

NPI 1922954916 (478) 205-5517

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Fairview Park Hospital

Acute Care Hospitals · Dublin, GA

5/5 CMS rating

OwnershipProprietary

CMS Certification Number110125

Location200 Industrial BoulevardDublin, GA 31021 · Laurens County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31021 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$83.23 typical visit price

range $53.31 – $164.04

Typical copayment $20.80 (range $13.32 – $41.01)

Most-billed visit code 99203

Established Patient

$94.84 typical visit price

range $16.68 – $133.24

Typical copayment $23.71 (range $4.17 – $33.31)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BASERINE C. GRACE LPN

Licensed Practical Nurse