=====================================================
General NPI Number Information
=====================================================
NPI Number | 1639254873
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | FAMILY HEALTH CENTER PC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/26/2006
-----------------------------------------------------
Last Update Date | 09/11/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 970 JOE FRANK HARRIS PKWY SUITE 220
-----------------------------------------------------
City | CARTERSVILLE
-----------------------------------------------------
State | GA
-----------------------------------------------------
Zip | 30120
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 770-607-8111
-----------------------------------------------------
Fax | 770-607-4111
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 970 JOE FRANK HARRIS PKWY SUITE 220
-----------------------------------------------------
City | CARTERSVILLE
-----------------------------------------------------
State | GA
-----------------------------------------------------
Zip | 30120
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 770-607-8111
-----------------------------------------------------
Fax | 770-607-4111
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PHYSICIAN
-----------------------------------------------------
Name | DR. NORMA ELLEN GADDY
-----------------------------------------------------
Credential | MD
-----------------------------------------------------
Telephone | 770-607-8111
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207VG0400X
-----------------------------------------------------
Taxonomy Name | Gynecology Physician
-----------------------------------------------------
License Number | 42248
-----------------------------------------------------
License Number State | GA
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 207Q00000X
-----------------------------------------------------
Taxonomy Name | Family Medicine Physician
-----------------------------------------------------
License Number | 42248
-----------------------------------------------------
License Number State | GA
-----------------------------------------------------