Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Family Medicine Specialist, PC

Organization Family Medicine Physician · NPI 1043402142

Family Medicine Specialist, PC provides Family Medicine Physician services in Fayetteville, Georgia. Licensed in Georgia. Registered with an NPI since 2007.

Licensed in
GA
In the registry since
2007
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

100 Genevieve Ct
Fayetteville, GA 30215-4803 Not confirmed with CMS for 19 years — call before visiting
Phone: (770) 486-1818
Fax: (770) 486-7303
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X (GA)

Record details

NPI number1043402142
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official William Adcox — Owner · (770) 486-1818
NPI enumeratedAugust 13, 2007
Last updated in NPPESAugust 13, 2007
Mailing address100 Genevieve Ct, Fayetteville, GA 30215-4803

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