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SAMUEL FAIRBANKS DO
NPI 1912407511
Radiology - Diagnostic Radiology in Fort Benning, GA

Active since February 20, 2018
6600 VAN AALST BLVD, FORT BENNING, GA 31905(762) 408-2001 Get Directions Write a Review

NPPES record last updated: June 24, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Samuel Fairbanks Do NPPES

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

SAMUEL FAIRBANKS DO (NPI 1912407511) is an individual diagnostic radiology provider in Fort Benning, Georgia, licensed in Virginia (0102205769) and active in the NPI registry since February 2018.

NPPES Registry Identity

NPI1912407511
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameSAMUEL FAIRBANKSCredential: DO
Location Address6600 VAN AALST BLVDFort Benning, GA 31905-2102
Mailing Address6600 Van Aalst BlvdFort Benning, GA 31905-2102 · (762) 408-2240
Phone(762) 408-2001
Sole ProprietorNo
Enumeration DateFebruary 20, 2018
Last NPPES UpdateJune 24, 2026
NPPES CertifiedJune 24, 2026
✔ NPI 1912407511 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in VA · 0102205769
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
6600 VAN AALST BLVD, Fort Benning, GA 31905
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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.

DR. DAVID SORENSEN MD
Family Medicine
6600 VAN AALST BLVD
FORT BENNING, GA 31905
Muscogee County (762) 408-0374
DR. THOMAS ALEXANDER O'HARA DO
Surgery
6600 VAN AALST BLVD
FORT MOORE, GA 31905
Muscogee County (624) 083-6697
DR. JOSHUA ALLEN WILSON MD
Hospitalist
6600 VAN AALST BLVD
FORT BENNING, GA 31905
Muscogee County (762) 408-2273
ERIC HENDERSON
Nurse Anesthetist, Certified Registered
6600 VAN AALST BLVD
FORT MOORE, GA 31905
Muscogee County (762) 408-3107
DR. STEVEN ELIOT REISSMAN D.O.
Family Medicine
6600 VAN AALST BLVD
FORT BENNING, GA 31905
Muscogee County (706) 544-3218
DR. ANTONIO ZIHERL D.O.
Emergency Medicine
6600 VAN AALST BLVD
FORT MOORE, GA 31905
Muscogee County (762) 408-2604
DR. BROOKE KAHL CRNA
Nurse Anesthetist, Certified Registered
6600 VAN AALST BLVD
FORT MOORE, GA 31905
Muscogee County (762) 408-3230
DR. CHARLES WARREN GILES MOUNTS
Family Medicine (Sleep Medicine)
6600 VAN AALST BLVD
FORT BENNING, GA 31905
Muscogee County (762) 408-3426

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 Samuel Fairbanks's NPI number?

The NPI number for Samuel Fairbanks is 1912407511. It was assigned to this individual provider in the NPPES registry on February 20, 2018.

Where is Samuel Fairbanks located?

Samuel Fairbanks practices at 6600 Van Aalst Blvd, Fort Benning, GA 31905. The listed phone number is (762) 408-2001.

What is Samuel Fairbanks's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

When was this NPI record last updated?

The NPPES record for Samuel Fairbanks was last updated on June 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.