{"npi":"1023388014","type":"NPI-1","status":"active","name":{"display":"Miss Laurie Clark PA-C","other":[{"code":"1","type":"Formerly known as","value":"DIELMANN, LAURIE ANNE"}],"first":"LAURIE","last":"CLARK","middle":"ANNE","credential":"PA-C"},"specialty":{"primary_taxonomy":"363AS0400X","primary_taxonomy_description":"Surgical Physician Assistant","slug":"surgical-physician-assistant","schema_org_specialty":null,"all":[{"code":"363AS0400X","description":"Surgical Physician Assistant","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"95 COLLIER RD NW STE 6015","city":"ATLANTA","state":"GA","postal_code":"303091750","country_code":"US","phone":"4913515959"},{"purpose":"MAILING","street_1":"5673 PEACHTREE DUNWOODY RD NE","city":"ATLANTA","state":"GA","postal_code":"303421731","country_code":"US","street_2":"SUITE 870","phone":"4439102510"}],"license":null,"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20120628000423","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"GA","pac_id":"0840455622"},{"enrlmt_id":"I20250220002309","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"MD","pac_id":"0840455622"}]},"enumeration_date":"2012-01-06","last_updated":"2022-07-21","_meta":{"source":"NPPES","snapshot_date":"2022-07-21","doc_url":"https://findmynpi.com/api"}}