RIVERPARK SPORTS MEDICINE AND PHYSICAL THERAPY
NPI 1336209550
Orthopaedic Surgery in Vidalia, LA

Active since December 11, 2006CLIA Certified · 2 labs
107 FRONT ST, SUITE 230, VIDALIA, LA 39120(318) 336-2212(318) 336-6067 Get Directions Write a Review

NPPES record last updated: July 3, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Riverpark Sports Medicine And Physical Therapy NPPES

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

RIVERPARK SPORTS MEDICINE AND PHYSICAL THERAPY (NPI 1336209550) is a healthcare organization registered as an orthopaedic surgery in Vidalia, Louisiana and active in the NPI registry since December 2006. The organization holds 2 active CLIA laboratory certificates and lists Angel Nicole Nugent, Manager, as its authorized official.

NPPES Registry Identity

NPI1336209550
Entity TypeOrganization
Primary Taxonomy207X00000X
Legal Business NameJ H FAIRBANKS MD PLLC
Location Address107 FRONT ST, SUITE 230Vidalia, LA 39120
Mailing Address107 Front St, Suite 230Vidalia, LA 39120 · (318) 336-2212 · Fax (318) 336-6067
Fax(318) 336-6067
Organization SubpartYes
Authorized OfficialAngel Nicole NugentManager · (318) 336-2212
Enumeration DateDecember 11, 2006
Last NPPES UpdateJuly 3, 2023
NPPES CertifiedJuly 3, 2023
NPI 1336209550 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Licenses Licensed in LA · MD017268 Licensed in MS · 15703
Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Also ListedOrthopaedic Surgery · Sports MedicineTaxonomy 207XX0005X · License MD017268 (LA)
107 FRONT ST, Vidalia, LA 39120

Other Names 1

Other NameRiverpark Sports Medicine And Physical Therapy

Other Identifiers 2

Medicaid00119142MS
Medicaid1384101LA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 19D2059403

Fairbanks Orthopedic Center · Vidalia, LA
Active · expires Jan 19, 2027
CLIA Number19D2059403
Laboratory TypePhysician Office
Certificate Effective DateJanuary 20, 2025
Certificate Expiration DateJanuary 19, 2027
Laboratory DirectorDr. John H. Fairbanks
Laboratory Phone(318) 336-2212
Laboratory LocationFairbanks Orthopedic Center107 Front Street, Suite 2134, Vidalia, LA 71373
CLIA data matches this NPI record on: Address Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate of Waiver 19D2103370

Fairbanks Orthopedic Center · Winnsboro, LA
Active · expires Oct 11, 2027
CLIA Number19D2103370
Laboratory TypePhysician Office
Certificate Effective DateOctober 12, 2025
Certificate Expiration DateOctober 11, 2027
Laboratory DirectorJohn H. Fairbanks
Laboratory Phone(318) 336-2212
Laboratory LocationFairbanks Orthopedic Center2104 Loop Rd Ste F, Winnsboro, LA 71295
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is J H Fairbanks MD PLLC's NPI number?

The NPI number for J H Fairbanks MD PLLC is 1336209550. It was assigned to this organization in the NPPES registry on December 11, 2006. The provider is also known as Riverpark Sports Medicine And Physical Therapy.

Where is J H Fairbanks MD PLLC located?

J H Fairbanks MD PLLC is located at 107 Front St Suite 230, Vidalia, LA 39120. The listed phone number is (318) 336-2212.

What is J H Fairbanks MD PLLC's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Does J H Fairbanks MD PLLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does J H Fairbanks MD PLLC accept?

Health plans from Blue Cross and Blue Shield of Louisiana, HMO Louisiana and Molina Healthcare list J H Fairbanks MD PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for J H Fairbanks MD PLLC was last updated on July 3, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.