{"npi":"1366928087","type":"NPI-2","status":"active","name":{"display":"Primary Care - South Limited","other":[],"organization_name":"PRIMARY CARE - SOUTH LIMITED","authorised_official":"Malcom Ingram"},"specialty":{"primary_taxonomy":"261QP2300X","primary_taxonomy_description":"Primary Care Clinic","slug":"primary-care-clinic","schema_org_specialty":"PrimaryCare","all":[{"code":"261QP2300X","description":"Primary Care Clinic","primary":true,"state":"TN","license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"1385 SOUTH HIGHLAND AVE","city":"JACKSON","state":"TN","postal_code":"38301","country_code":"US","street_2":"SUITE B-1","phone":"7314270470","fax":"7314270995"},{"purpose":"MAILING","street_1":"1385 SOUTH HIGHLAND AVE","city":"JACKSON","state":"TN","postal_code":"38301","country_code":"US","street_2":"SUITE B-1","phone":"7314270470","fax":"7314270995"}],"license":null,"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20190117001757","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"TN","pac_id":"0749526440"},{"enrlmt_id":"O20200116001051","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"TN","pac_id":"5193150399"}]},"enumeration_date":"2018-07-16","last_updated":"2024-09-06","_meta":{"source":"NPPES","snapshot_date":"2024-09-06","doc_url":"https://findmynpi.com/api"}}