{"npi":"1023124161","type":"NPI-1","status":"active","name":{"display":"Michael Ridley PA","other":[],"first":"MICHAEL","last":"RIDLEY","middle":"JOE","credential":"PA"},"specialty":{"primary_taxonomy":"363A00000X","primary_taxonomy_description":"Physician Assistant","slug":"physician-assistant","schema_org_specialty":null,"all":[{"code":"363A00000X","description":"Physician Assistant","primary":true,"state":"TN","license":"PA1373"}]},"addresses":[{"purpose":"LOCATION","street_1":"306 HIGHWAY 641 N","city":"CAMDEN","state":"TN","postal_code":"383203012","country_code":"US","phone":"7315841523","fax":"7319860011"},{"purpose":"MAILING","street_1":"PO BOX 25","city":"HUNTINGDON","state":"TN","postal_code":"383440025","country_code":"US","phone":"7319862213","fax":"7319860011"}],"license":{"state":"TN","number":"PA1373"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"3380640","state":"TN","issuer":null},{"type_code":"01","label":"Other","value":"PA1373","state":"TN","issuer":"MEDICAL LICENSE NUMBER"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20061018000328","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"TN","pac_id":"0345246187"}]},"enumeration_date":"2006-08-22","last_updated":"2016-08-26","_meta":{"source":"NPPES","snapshot_date":"2016-08-26","doc_url":"https://findmynpi.com/api"}}