{"npi":"1346993979","type":"NPI-1","status":"active","name":{"display":"Mrs. Hannah Raines Pac","other":[{"code":"1","type":"Formerly known as","value":"WALDEN, HANNAH ELISABETH"}],"first":"HANNAH","last":"RAINES","middle":"ELISABETH","credential":"PAC"},"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":"12376"}]},"addresses":[{"purpose":"LOCATION","street_1":"1505 NORTHSIDE BLVD STE 2000","city":"CUMMING","state":"GA","postal_code":"300416205","country_code":"US","phone":"7707814010","fax":"7707815334"},{"purpose":"MAILING","street_1":"1505 NORTHSIDE BLVD STE 2000","city":"CUMMING","state":"GA","postal_code":"300416205","country_code":"US","phone":"7707814010","fax":"7707815334"}],"license":{"state":"GA","number":"12376"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20220406002813","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"AL","pac_id":"3274929823"},{"enrlmt_id":"I20240717003145","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"GA","pac_id":"3274929823"}]},"enumeration_date":"2022-02-02","last_updated":"2024-07-12","_meta":{"source":"NPPES","snapshot_date":"2024-07-12","doc_url":"https://findmynpi.com/api"}}