{"npi":"1366433773","type":"NPI-2","status":"active","name":{"display":"Gaston Medical Associates, PA","other":[],"organization_name":"GASTON MEDICAL ASSOCIATES, PA","authorised_official":"Olufolarin Ajao"},"specialty":{"primary_taxonomy":"207R00000X","primary_taxonomy_description":"Internal Medicine","slug":"internal-medicine","schema_org_specialty":"Internal","all":[{"code":"207RG0100X","description":"Gastroenterology","primary":false,"state":"NC","license":"9600912"},{"code":"363L00000X","description":"Nurse Practitioner","primary":false,"state":"NC","license":"201734"},{"code":"363A00000X","description":"Physician Assistant","primary":false,"state":"NC","license":"0010-01441"},{"code":"207R00000X","description":"Internal Medicine","primary":true,"state":"NC","license":"9501167"}]},"addresses":[{"purpose":"LOCATION","street_1":"2664 COURT DRIVE","city":"GASTONIA","state":"NC","postal_code":"280541449","country_code":"US","street_2":"SUITE A","phone":"7048619030","fax":"7048331234"},{"purpose":"MAILING","street_1":"2664 COURT DRIVE","city":"GASTONIA","state":"NC","postal_code":"280541449","country_code":"US","street_2":"SUITE A","phone":"7048619030","fax":"7048331234"}],"license":{"state":"NC","number":"9501167"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"89011FH","state":"NC","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20090618000777","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"NC","pac_id":"0244381945"}]},"enumeration_date":"2005-11-03","last_updated":"2013-07-31","_meta":{"source":"NPPES","snapshot_date":"2013-07-31","doc_url":"https://findmynpi.com/api"}}