{"npi":"1134546278","type":"NPI-1","status":"active","name":{"display":"Jennifer Johnson DO","other":[],"first":"JENNIFER","last":"JOHNSON","middle":"WOOTTON","credential":"DO"},"specialty":{"primary_taxonomy":"207R00000X","primary_taxonomy_description":"Internal Medicine","slug":"internal-medicine","schema_org_specialty":"Internal","all":[{"code":"207R00000X","description":"Internal Medicine","primary":true,"state":"NC","license":"2017-01749"}]},"addresses":[{"purpose":"LOCATION","street_1":"1202 MEDICAL CENTER DR","city":"WILMINGTON","state":"NC","postal_code":"284017307","country_code":"US","phone":"9103437000"},{"purpose":"MAILING","street_1":"1202 MEDICAL CENTER DR","city":"WILMINGTON","state":"NC","postal_code":"284017307","country_code":"US","phone":"8285806753","fax":"8285806759"}],"license":{"state":"NC","number":"2017-01749"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"1134546278","state":"NC","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20171024000416","type_code":"14-11","type_desc":"PRACTITIONER - INTERNAL MEDICINE","state":"NC","pac_id":"9638494990"}]},"enumeration_date":"2014-03-26","last_updated":"2023-09-26","_meta":{"source":"NPPES","snapshot_date":"2023-09-26","doc_url":"https://findmynpi.com/api"}}