{"npi":"1013544899","type":"NPI-2","status":"active","name":{"display":"Southern Neurology, Physical Medicine & Rehabilitation, LLC","other":[],"organization_name":"SOUTHERN NEUROLOGY, PHYSICAL MEDICINE & REHABILITATION, LLC","authorised_official":"Tommy Bussey"},"specialty":{"primary_taxonomy":"2084N0400X","primary_taxonomy_description":"Neurology","slug":"neurology","schema_org_specialty":"Neurologic","all":[{"code":"2084N0400X","description":"Neurology","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"4913 LANES POND RD","city":"VALDOSTA","state":"GA","postal_code":"316011537","country_code":"US","phone":"2292922074"},{"purpose":"MAILING","street_1":"4913 LANES POND RD","city":"VALDOSTA","state":"GA","postal_code":"316011537","country_code":"US","phone":"2292922074"}],"license":null,"identifiers":[],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2020-03-24","last_updated":"2020-03-24","_meta":{"source":"NPPES","snapshot_date":"2020-03-24","doc_url":"https://findmynpi.com/api"}}