{"npi":"1174530448","type":"NPI-1","status":"active","name":{"display":"Stephen Conerly MD","other":[],"first":"STEPHEN","last":"CONERLY","middle":"L","credential":"MD"},"specialty":{"primary_taxonomy":"207N00000X","primary_taxonomy_description":"Dermatology","slug":"dermatology","schema_org_specialty":"Dermatologic","all":[{"code":"207N00000X","description":"Dermatology","primary":true,"state":"MS","license":"08717"}]},"addresses":[{"purpose":"LOCATION","street_1":"104 ASBURY CIR","city":"HATTIESBURG","state":"MS","postal_code":"394021302","country_code":"US","phone":"6012685252","fax":"6012685190"},{"purpose":"MAILING","street_1":"415 S 28TH AVE","city":"HATTIESBURG","state":"MS","postal_code":"394017246","country_code":"US","phone":"6012685252","fax":"6015795240"}],"license":{"state":"MS","number":"08717"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"00115155","state":"MS","issuer":null},{"type_code":"05","label":"Medicaid","value":"1385751","state":"LA","issuer":null},{"type_code":"01","label":"Other","value":"1559128","state":"MS","issuer":"AMIERICAN ADMIN GROUP"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20080122000644","type_code":"14-07","type_desc":"PRACTITIONER - DERMATOLOGY","state":"MS","pac_id":"1456432988"}]},"enumeration_date":"2006-08-01","last_updated":"2020-07-14","_meta":{"source":"NPPES","snapshot_date":"2020-07-14","doc_url":"https://findmynpi.com/api"}}