{"npi":"1245746783","type":"NPI-2","status":"active","name":{"display":"Piedmont Athens Primary Care LLC","other":[],"organization_name":"PIEDMONT ATHENS PRIMARY CARE LLC","authorised_official":"Christy Aquino"},"specialty":{"primary_taxonomy":"207Q00000X","primary_taxonomy_description":"Family Medicine","slug":"family-medicine","schema_org_specialty":"PrimaryCare","all":[{"code":"207Q00000X","description":"Family Medicine","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"1199 PRINCE AVE","city":"ATHENS","state":"GA","postal_code":"306062797","country_code":"US","phone":"7063695440","fax":"7063695490"},{"purpose":"MAILING","street_1":"PO BOX 117264","city":"ATLANTA","state":"GA","postal_code":"303687264","country_code":"US","phone":"7708012500"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"003208591A","state":"GA","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20180910002202","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"GA","pac_id":"0648520841"}]},"enumeration_date":"2017-12-20","last_updated":"2021-08-11","_meta":{"source":"NPPES","snapshot_date":"2021-08-11","doc_url":"https://findmynpi.com/api"}}