{"npi":"1144303124","type":"NPI-1","status":"active","name":{"display":"Mr. Charles Sanders MD","other":[],"first":"CHARLES","last":"SANDERS","middle":"RICHARD","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":"GA","license":"029087"}]},"addresses":[{"purpose":"LOCATION","street_1":"951 S BROAD ST","city":"THOMASVILLE","state":"GA","postal_code":"317926161","country_code":"US","phone":"2292284130","fax":"2292264690"},{"purpose":"MAILING","street_1":"951 S BROAD ST","city":"THOMASVILLE","state":"GA","postal_code":"317926161","country_code":"US","phone":"2292284130","fax":"2292264690"}],"license":{"state":"GA","number":"029087"},"identifiers":[{"type_code":"01","label":"Other","value":"0116065","state":"GA","issuer":"UNITED HEALTHCARE"},{"type_code":"01","label":"Other","value":"4711658","state":"GA","issuer":"CIGNA PROVIDER NUMBER"},{"type_code":"05","label":"Medicaid","value":"00433958C","state":"GA","issuer":null},{"type_code":"01","label":"Other","value":"11D0266342","state":"GA","issuer":"CLIA LAB NUMBER"},{"type_code":"01","label":"Other","value":"024373","state":"GA","issuer":"BCBS PROVIDER NUMBER"},{"type_code":"01","label":"Other","value":"GRP1474","state":"GA","issuer":"MEDICARE GROUP NUMBER"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20100308000107","type_code":"14-08","type_desc":"PRACTITIONER - FAMILY PRACTICE","state":"GA","pac_id":"4981642923"}]},"enumeration_date":"2006-10-23","last_updated":"2010-03-23","_meta":{"source":"NPPES","snapshot_date":"2010-03-23","doc_url":"https://findmynpi.com/api"}}