{"npi":"1366480014","type":"NPI-1","status":"active","name":{"display":"Dr. Kenneth Patric MD","other":[],"first":"KENNETH","last":"PATRIC","middle":"W","credential":"MD"},"specialty":{"primary_taxonomy":"207Q00000X","primary_taxonomy_description":"Family Medicine","slug":"family-medicine","schema_org_specialty":"PrimaryCare","all":[{"code":"207Q00000X","description":"Family Medicine","primary":false,"state":"GA","license":"69243"},{"code":"207Q00000X","description":"Family Medicine","primary":true,"state":"TN","license":"MD0000027485"}]},"addresses":[{"purpose":"LOCATION","street_1":"403 MCBRIEN RD","city":"EAST RIDGE","state":"TN","postal_code":"374123223","country_code":"US","phone":"4238750700"},{"purpose":"MAILING","street_1":"2485 BASKETTE WAY","city":"CHATTANOOGA","state":"TN","postal_code":"374217615","country_code":"US","phone":"4232404829","fax":"6154254271"}],"license":{"state":"TN","number":"MD0000027485"},"identifiers":[{"type_code":"01","label":"Other","value":"69243","state":"GA","issuer":"GEORGIA MEDICAL LICENSE"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20070425000692","type_code":"14-08","type_desc":"PRACTITIONER - FAMILY PRACTICE","state":"TN","pac_id":"8123124823"},{"enrlmt_id":"I20121110000040","type_code":"14-08","type_desc":"PRACTITIONER - FAMILY PRACTICE","state":"KY","pac_id":"8123124823"},{"enrlmt_id":"I20121116000265","type_code":"14-08","type_desc":"PRACTITIONER - FAMILY PRACTICE","state":"AZ","pac_id":"8123124823"},{"enrlmt_id":"I20130628000015","type_code":"14-08","type_desc":"PRACTITIONER - FAMILY PRACTICE","state":"GA","pac_id":"8123124823"}]},"enumeration_date":"2006-06-03","last_updated":"2023-05-25","_meta":{"source":"NPPES","snapshot_date":"2023-05-25","doc_url":"https://findmynpi.com/api"}}