{"npi":"1245547405","type":"NPI-1","status":"active","name":{"display":"Mrs. Jennifer Puckett PA-C","other":[],"first":"JENNIFER","last":"PUCKETT","middle":"STANFIELD","credential":"PA-C"},"specialty":{"primary_taxonomy":"363A00000X","primary_taxonomy_description":"Physician Assistant","slug":"physician-assistant","schema_org_specialty":null,"all":[{"code":"363A00000X","description":"Physician Assistant","primary":false,"state":"NC","license":"0010-02537"},{"code":"363A00000X","description":"Physician Assistant","primary":true,"state":"GA","license":"6191"}]},"addresses":[{"purpose":"LOCATION","street_1":"1211 SHERWOOD PARK DR NE STE B","city":"GAINESVILLE","state":"GA","postal_code":"305013444","country_code":"US","phone":"7702194840"},{"purpose":"MAILING","street_1":"PO BOX 742616","city":"ATLANTA","state":"GA","postal_code":"303742616","country_code":"US","phone":"7702198420"}],"license":{"state":"GA","number":"6191"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"003121389A","state":"GA","issuer":null},{"type_code":"05","label":"Medicaid","value":"1344PA","state":"SC","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20120320000351","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"GA","pac_id":"4385804947"}]},"enumeration_date":"2010-09-09","last_updated":"2021-01-22","_meta":{"source":"NPPES","snapshot_date":"2021-01-22","doc_url":"https://findmynpi.com/api"}}