{"npi":"1295985125","type":"NPI-1","status":"active","name":{"display":"Mrs. Lauren Wieme PA-C","other":[{"code":"1","type":"Formerly known as","value":"OURT, LAUREN MEREDITH"}],"first":"LAUREN","last":"WIEME","middle":"OURT","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":true,"state":"GA","license":"005449"}]},"addresses":[{"purpose":"LOCATION","street_1":"1205 TOWN PARK LN","city":"EVANS","state":"GA","postal_code":"308093481","country_code":"US","phone":"7068683100","fax":"7062283125"},{"purpose":"MAILING","street_1":"1205 TOWN PARK LN","city":"EVANS","state":"GA","postal_code":"308093481","country_code":"US","phone":"7068683100","fax":"7062283125"}],"license":{"state":"GA","number":"005449"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"704571083A","state":"GA","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20091111000443","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"GA","pac_id":"2365580321"}]},"enumeration_date":"2008-09-29","last_updated":"2025-09-25","_meta":{"source":"NPPES","snapshot_date":"2025-09-25","doc_url":"https://findmynpi.com/api"}}