{"npi":"1093409104","type":"NPI-1","status":"active","name":{"display":"Wilson Ford MD","other":[],"first":"WILSON","last":"FORD","middle":"FREDERICK","credential":"MD"},"specialty":{"primary_taxonomy":"207Q00000X","primary_taxonomy_description":"Family Medicine","slug":"family-medicine","schema_org_specialty":"PrimaryCare","all":[{"code":"207Q00000X","description":"Family Medicine","primary":true,"state":"SC","license":"LL90148"}]},"addresses":[{"purpose":"LOCATION","street_1":"650 ELLIS OAK DR","city":"CHARLESTON","state":"SC","postal_code":"294123089","country_code":"US","phone":"8437923451"},{"purpose":"MAILING","street_1":"169 ASHLEY AVE RM 202","city":"CHARLESTON","state":"SC","postal_code":"294258905","country_code":"US"}],"license":{"state":"SC","number":"LL90148"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20231220001928","type_code":"33-08","type_desc":"ORDER AND REFERRING ONLY - FAMILY PRACTICE","state":"SC","pac_id":"1850741604"}]},"enumeration_date":"2023-06-05","last_updated":"2023-06-22","_meta":{"source":"NPPES","snapshot_date":"2023-06-22","doc_url":"https://findmynpi.com/api"}}