{"npi":"1174976112","type":"NPI-1","status":"active","name":{"display":"Nicole Zavodnick PA","other":[],"first":"NICOLE","last":"ZAVODNICK","credential":"PA"},"specialty":{"primary_taxonomy":"363A00000X","primary_taxonomy_description":"Physician Assistant","slug":"physician-assistant","schema_org_specialty":null,"all":[{"code":"363A00000X","description":"Physician Assistant","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"1968 PEACHTREE RD NW BLDG 775TH","city":"ATLANTA","state":"GA","postal_code":"303091281","country_code":"US","phone":"4046054600"},{"purpose":"MAILING","street_1":"2727 PACES FERRY RD SE STE 1-1100","city":"ATLANTA","state":"GA","postal_code":"303396151","country_code":"US","phone":"4702713418"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"003180524A","state":"GA","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20160926001887","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"GA","pac_id":"7911294525"}]},"enumeration_date":"2016-07-14","last_updated":"2026-06-15","_meta":{"source":"NPPES","snapshot_date":"2026-06-15","doc_url":"https://findmynpi.com/api"}}