{"npi":"1073520573","type":"NPI-1","status":"active","name":{"display":"Dr. Matthew Cornish M.D.","other":[],"first":"MATTHEW","last":"CORNISH","middle":"JARED","credential":"M.D."},"specialty":{"primary_taxonomy":"208000000X","primary_taxonomy_description":"Pediatrics","slug":"pediatrics","schema_org_specialty":"Pediatric","all":[{"code":"208000000X","description":"Pediatrics","primary":false,"state":"UT","license":"5424381-1205"},{"code":"208000000X","description":"Pediatrics","primary":true,"state":"GA","license":"94843"}]},"addresses":[{"purpose":"LOCATION","street_1":"1120 15TH ST","city":"AUGUSTA","state":"GA","postal_code":"309126300","country_code":"US","phone":"7067218623"},{"purpose":"MAILING","street_1":"1120 15TH ST # OR6000","city":"AUGUSTA","state":"GA","postal_code":"309120004","country_code":"US","phone":"7067213813"}],"license":{"state":"GA","number":"94843"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"D5468","state":"UT","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20230502000907","type_code":"14-37","type_desc":"PRACTITIONER - PEDIATRIC MEDICINE","state":"GA","pac_id":"0648463448"}]},"enumeration_date":"2006-08-01","last_updated":"2023-04-14","_meta":{"source":"NPPES","snapshot_date":"2023-04-14","doc_url":"https://findmynpi.com/api"}}