Healthcare Provider Details

I. General information

NPI: 1902850480
Provider Name (Legal Business Name): FAMILY HEALTHCARE ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/20/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

726 E MAIN ST
ADAMSVILLE TN
38310
US

IV. Provider business mailing address

726 E MAIN ST
ADAMSVILLE TN
38310
US

V. Phone/Fax

Practice location:
  • Phone: 731-632-3010
  • Fax: 731-632-3052
Mailing address:
  • Phone: 731-632-3010
  • Fax: 731-632-3052

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number29254
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number29254
License Number StateTN
# 3
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN27447
License Number StateTN

VIII. Authorized Official

Name: MRS. NANCY KAY WILLIAMS
Title or Position: OFFICE MANAGER
Credential:
Phone: 731-632-3010