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 5 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 Enrolled

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: August 02, 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.

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

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sandra L Souza M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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