{"npi":"1336154129","type":"NPI-2","status":"active","name":{"display":"Fhpg, LLC","other":[],"organization_name":"FHPG, LLC","authorised_official":"Mickey Foster"},"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":"NC","license":"9901427"}]},"addresses":[{"purpose":"LOCATION","street_1":"112 E BALLARD ST","city":"ELLERBE","state":"NC","postal_code":"283389730","country_code":"US","phone":"9106522663","fax":"9106523150"},{"purpose":"MAILING","street_1":"112 E BALLARD ST","city":"ELLERBE","state":"NC","postal_code":"283389730","country_code":"US","phone":"9106522663","fax":"9106523150"}],"license":{"state":"NC","number":"9901427"},"identifiers":[{"type_code":"01","label":"Other","value":"0225E","state":"NC","issuer":"BCBS #"},{"type_code":"01","label":"Other","value":"02AY1","state":"NC","issuer":"BCBS"},{"type_code":"01","label":"Other","value":"CA6647","state":"NC","issuer":"RR MEDICARE GROUP #"},{"type_code":"05","label":"Medicaid","value":"8902804","state":"NC","issuer":null},{"type_code":"05","label":"Medicaid","value":"1336154129","state":"NC","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2006-07-30","last_updated":"2025-01-06","_meta":{"source":"NPPES","snapshot_date":"2025-01-06","doc_url":"https://findmynpi.com/api"}}