{"npi":"1205858263","type":"NPI-2","status":"active","name":{"display":"Internal Medicine Clinic Of Columbia, P.A.","other":[],"organization_name":"INTERNAL MEDICINE CLINIC OF COLUMBIA, P.A.","authorised_official":"Bryan Mccraw"},"specialty":{"primary_taxonomy":"261QR1300X","primary_taxonomy_description":"Rural Health Clinic/Center","slug":"rural-health-clinic-center","schema_org_specialty":null,"all":[{"code":"261QR1300X","description":"Rural Health Clinic/Center","primary":true,"state":"MS","license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"914 SUMRALL RD","city":"COLUMBIA","state":"MS","postal_code":"394292652","country_code":"US","phone":"6017311470","fax":"6017311474"},{"purpose":"MAILING","street_1":"914 SUMRALL RD","city":"COLUMBIA","state":"MS","postal_code":"394292652","country_code":"US","phone":"6017311470","fax":"6017311474"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"09014377","state":"MS","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20100929000099","type_code":"00-17","type_desc":"PART A PROVIDER - RURAL HEALTH CLINIC","state":"MS","pac_id":"6507982410"},{"enrlmt_id":"O20111212000526","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"MS","pac_id":"6507982410"}]},"enumeration_date":"2006-07-25","last_updated":"2016-02-18","_meta":{"source":"NPPES","snapshot_date":"2016-02-18","doc_url":"https://findmynpi.com/api"}}