{"npi":"1124792106","type":"NPI-2","status":"active","name":{"display":"Mini-Med Clinic Of North Georgia, LLC","other":[],"organization_name":"MINI-MED CLINIC OF NORTH GEORGIA, LLC","authorised_official":"Sophia Kennedy"},"specialty":{"primary_taxonomy":"261Q00000X","primary_taxonomy_description":"Clinic/Center","slug":"clinic-center","schema_org_specialty":null,"all":[{"code":"261Q00000X","description":"Clinic/Center","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"5113 HOLLY SPRINGS PARKWAY","city":"CANTON","state":"GA","postal_code":"30115","country_code":"US","phone":"4703313544"},{"purpose":"MAILING","street_1":"5113 HOLLY SPRINGS PARKWAY","city":"CANTON","state":"GA","postal_code":"30115","country_code":"US","phone":"6783989697"}],"license":null,"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20211108002230","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"GA","pac_id":"7113316456"}]},"enumeration_date":"2021-08-04","last_updated":"2021-08-27","_meta":{"source":"NPPES","snapshot_date":"2021-08-27","doc_url":"https://findmynpi.com/api"}}