{"npi":"1245856822","type":"NPI-1","status":"active","name":{"display":"Alexis Wallace MD","other":[],"first":"ALEXIS","last":"WALLACE","middle":"NICOLE","credential":"MD"},"specialty":{"primary_taxonomy":"207R00000X","primary_taxonomy_description":"Internal Medicine","slug":"internal-medicine","schema_org_specialty":"Internal","all":[{"code":"207R00000X","description":"Internal Medicine","primary":false,"state":"SC","license":"LL84507"},{"code":"207R00000X","description":"Internal Medicine","primary":true,"state":"GA","license":"12864"}]},"addresses":[{"purpose":"LOCATION","street_1":"AUGUSTA UNIVERSITY MEDICAL CENTER","city":"1120 15TH ST","state":"GA","postal_code":"30912","country_code":"US","phone":"7067212273"},{"purpose":"MAILING","street_1":"INTERNAL MEDICINE RESIDENCY 1120 15TH ST","city":"AUGUSTA","state":"GA","postal_code":"309120001","country_code":"US","phone":"7067212273"}],"license":{"state":"GA","number":"12864"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20241002000699","type_code":"14-11","type_desc":"PRACTITIONER - INTERNAL MEDICINE","state":"GA","pac_id":"6002217619"}]},"enumeration_date":"2020-06-19","last_updated":"2021-12-15","_meta":{"source":"NPPES","snapshot_date":"2021-12-15","doc_url":"https://findmynpi.com/api"}}