Healthcare Provider Details

I. General information

NPI: 1639254873
Provider Name (Legal Business Name): FAMILY HEALTH CENTER PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/26/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

970 JOE FRANK HARRIS PKWY SUITE 220
CARTERSVILLE GA
30120
US

IV. Provider business mailing address

970 JOE FRANK HARRIS PKWY SUITE 220
CARTERSVILLE GA
30120
US

V. Phone/Fax

Practice location:
  • Phone: 770-607-8111
  • Fax: 770-607-4111
Mailing address:
  • Phone: 770-607-8111
  • Fax: 770-607-4111

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number42248
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License Number42248
License Number StateGA

VIII. Authorized Official

Name: DR. NORMA ELLEN GADDY
Title or Position: PHYSICIAN
Credential: MD
Phone: 770-607-8111