{"npi":"1245383033","type":"NPI-1","status":"active","name":{"display":"Carroll Mcleod MD","other":[],"first":"CARROLL","last":"MCLEOD","middle":"M","credential":"MD"},"specialty":{"primary_taxonomy":"208VP0000X","primary_taxonomy_description":"Pain Medicine Physician","slug":"pain-medicine-physician","schema_org_specialty":null,"all":[{"code":"207L00000X","description":"Anesthesiology","primary":false,"state":"MS","license":"12138"},{"code":"208VP0000X","description":"Pain Medicine Physician","primary":true,"state":"MS","license":"12138"}]},"addresses":[{"purpose":"LOCATION","street_1":"1325 E FORTIFICATION ST","city":"JACKSON","state":"MS","postal_code":"392022442","country_code":"US","phone":"6013544488","fax":"6013515980"},{"purpose":"MAILING","street_1":"1325 E FORTIFICATION ST","city":"JACKSON","state":"MS","postal_code":"392022442","country_code":"US","phone":"6013544488","fax":"6013515980"}],"license":{"state":"MS","number":"12138"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"00110112","state":"MS","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20110225000120","type_code":"14-72","type_desc":"PRACTITIONER - PAIN MANAGEMENT","state":"MS","pac_id":"4880776483"}]},"enumeration_date":"2007-01-18","last_updated":"2021-08-18","_meta":{"source":"NPPES","snapshot_date":"2021-08-18","doc_url":"https://findmynpi.com/api"}}