{"npi":"1053392084","type":"NPI-1","status":"active","name":{"display":"Gretchen Green M.D.","other":[],"first":"GRETCHEN","last":"GREEN","middle":"ELIZABETH","credential":"M.D."},"specialty":{"primary_taxonomy":"2085R0202X","primary_taxonomy_description":"Diagnostic Radiology","slug":"diagnostic-radiology","schema_org_specialty":"Radiography","all":[{"code":"2085R0202X","description":"Diagnostic Radiology","primary":false,"state":"VA","license":"0101244527"},{"code":"2085R0202X","description":"Diagnostic Radiology","primary":true,"state":"NC","license":"2006-00722"}]},"addresses":[{"purpose":"LOCATION","street_1":"3186 VILLAGE DR STE 201","city":"FAYETTEVILLE","state":"NC","postal_code":"283043979","country_code":"US","phone":"9104865700","fax":"9104865950"},{"purpose":"MAILING","street_1":"3186 VILLAGE DRIVE","city":"FAYETTEVILLE","state":"NC","postal_code":"28304","country_code":"US","street_2":"SUITE 201","phone":"9104865700","fax":"9104865950"}],"license":{"state":"NC","number":"2006-00722"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"5904067","state":"NC","issuer":null},{"type_code":"05","label":"Medicaid","value":"1053392084","state":"NC","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20060816000394","type_code":"14-30","type_desc":"PRACTITIONER - DIAGNOSTIC RADIOLOGY","state":"NC","pac_id":"8022052778"}]},"enumeration_date":"2005-11-08","last_updated":"2022-07-21","_meta":{"source":"NPPES","snapshot_date":"2022-07-21","doc_url":"https://findmynpi.com/api"}}