{"npi":"1104009059","type":"NPI-2","status":"active","name":{"display":"Northeast Georgia Physicians Group, Inc.","other":[],"organization_name":"NORTHEAST GEORGIA PHYSICIANS GROUP, INC.","authorised_official":"J. Glover"},"specialty":{"primary_taxonomy":"207QS0010X","primary_taxonomy_description":"Sports Medicine (Family Medicine) Physician","slug":"sports-medicine-family-medicine-physician","schema_org_specialty":null,"all":[{"code":"207QS0010X","description":"Sports Medicine (Family Medicine) Physician","primary":true,"state":"GA","license":"60363"}]},"addresses":[{"purpose":"LOCATION","street_1":"115 TOWNE CENTER PKWY","city":"HOSCHTON","state":"GA","postal_code":"305482213","country_code":"US","street_2":"SUITE 113","phone":"7066582452","fax":"7066582462"},{"purpose":"MAILING","street_1":"115 TOWNE CENTER PKWY","city":"HOSCHTON","state":"GA","postal_code":"305482213","country_code":"US","street_2":"SUITE 113","phone":"7066582452","fax":"7066582462"}],"license":{"state":"GA","number":"60363"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"574554373A","state":"GA","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2007-12-14","last_updated":"2011-04-15","_meta":{"source":"NPPES","snapshot_date":"2011-04-15","doc_url":"https://findmynpi.com/api"}}