{"npi":"1053661348","type":"NPI-1","status":"active","name":{"display":"Jessica Wilson PA","other":[{"code":"1","type":"Formerly known as","value":"DOUBERLY, JESSICA LEIGH"}],"first":"JESSICA","last":"WILSON","middle":"LEIGH","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":false,"state":"FL","license":"PA9106699"},{"code":"363A00000X","description":"Physician Assistant","primary":true,"state":"SC","license":"3000"}]},"addresses":[{"purpose":"LOCATION","street_1":"8 RICHLAND MEDICAL PARK DR STE 400","city":"COLUMBIA","state":"SC","postal_code":"29203","country_code":"US","phone":"8037650871","fax":"8037659215"},{"purpose":"MAILING","street_1":"PO BOX 743904","city":"ATLANTA","state":"GA","postal_code":"303743904","country_code":"US","phone":"8032967320","fax":"8032967330"}],"license":{"state":"SC","number":"3000"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"0065294-00","state":"FL","issuer":null},{"type_code":"05","label":"Medicaid","value":"3676PA","state":"SC","issuer":null},{"type_code":"05","label":"Medicaid","value":"003127651B","state":"GA","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2012-09-13","last_updated":"2019-03-19","_meta":{"source":"NPPES","snapshot_date":"2019-03-19","doc_url":"https://findmynpi.com/api"}}