Organization Active NPI

Family Medicine Specialist, PC

  • Family Medicine Physician
  • Fayetteville, GA
National Provider Identifier
1043402142
Registry record updated Aug 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
FAMILY MEDICINE SPECIALIST, PC
Practice address
100 Genevieve CT
Fayetteville, GA 30215-4803
Phone
(770) 486-1818
Fax
(770) 486-7303
NPI assigned
Aug 13, 2007
Last updated
Aug 13, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. William C Adcox, M.D.NPI 1124086350
Title
Owner
Phone
(770) 486-1818

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X GA Primary

Addresses

Primary practice location

100 Genevieve CT
Fayetteville, GA 30215-4803

Mailing address

100 Genevieve CT
Fayetteville, GA 30215-4803
Phone (770) 486-1818

Other identifiers 2

IdentifierTypeStateIssuer
1982635652OtherGAK DAWSON JACKSON, MD NPI
1124086350OtherGAWILLIAM C. ADCOX, MD NPI

National Provider Directory

National Provider Directory

Locations

100 Genevieve Ct
Peachtree City, GA 30269
Phone (770) 486-1818

450 Commerce Dr
Peachtree Cty, GA 30269
Phone (770) 486-1818

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1186963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186963200000",
    "number": "1043402142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 GENEVIEVE CT",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302154803",
            "telephone_number": "770-486-1818",
            "fax_number": "770-486-7303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 GENEVIEVE CT",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302154803",
            "telephone_number": "770-486-1818",
            "fax_number": "770-486-7303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY MEDICINE SPECIALIST, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-13",
        "last_updated": "2007-08-13",
        "status": "A",
        "authorized_official_last_name": "ADCOX",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-486-1818",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "K DAWSON JACKSON, MD NPI",
            "identifier": "1982635652",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WILLIAM C. ADCOX, MD NPI",
            "identifier": "1124086350",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.