Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Fairmount Family Medicine PC

Organization Family Medicine Physician · NPI 1548559339

Fairmount Family Medicine PC is a Family Medicine Physician in Fairmount, Georgia. Licensed in Georgia. Registered with an NPI since 2011.

Licensed in
GA
In the registry since
2011
Specialties on file
2
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

2712 Highway 411 SE
Fairmount, GA 30139-3219
Phone: (706) 337-1930
Fax: (706) 337-1910
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence RN107315 (GA)
Family Medicine Physician Taxonomy 207Q00000X · Licence 32319 (GA)

Record details

NPI number1548559339
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tony Sparks — President · (706) 337-1930
NPI enumeratedApril 1, 2011
Last updated in NPPESApril 1, 2011
Mailing addressPo Box 703, Fairmount, GA 30139-0703