{"npi":"1073538245","type":"NPI-1","status":"active","name":{"display":"Lillian Shores PA-C","other":[{"code":"1","type":"Formerly known as","value":"ROWE, LILLIAN CARLA"}],"first":"LILLIAN","last":"SHORES","middle":"CARLA","credential":"PA-C"},"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":"NC","license":"0010-03216"}]},"addresses":[{"purpose":"LOCATION","street_1":"1202 MEDICAL CENTER DR","city":"WILMINGTON","state":"NC","postal_code":"284017307","country_code":"US","phone":"9103413300","fax":"9102512067"},{"purpose":"MAILING","street_1":"1202 MEDICAL CENTER DR","city":"WILMINGTON","state":"NC","postal_code":"284017307","country_code":"US","phone":"9103413300","fax":"9102512067"}],"license":{"state":"NC","number":"0010-03216"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"1073538245","state":"NC","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20140910000599","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"NC","pac_id":"4486616752"}]},"enumeration_date":"2006-07-12","last_updated":"2015-08-03","_meta":{"source":"NPPES","snapshot_date":"2015-08-03","doc_url":"https://findmynpi.com/api"}}