{"npi":"1366993263","type":"NPI-2","status":"active","name":{"display":"Innovative Primary Care, LLC","other":[],"organization_name":"INNOVATIVE PRIMARY CARE, LLC","authorised_official":"Stacy Pinson"},"specialty":{"primary_taxonomy":"363AM0700X","primary_taxonomy_description":"Medical Physician Assistant","slug":"medical-physician-assistant","schema_org_specialty":null,"all":[{"code":"261QP2300X","description":"Primary Care Clinic","primary":false,"state":null,"license":null},{"code":"363AM0700X","description":"Medical Physician Assistant","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"7035 MIDDLEBROOK PIKE STE B","city":"KNOXVILLE","state":"TN","postal_code":"379091387","country_code":"US","phone":"8652008672","fax":"8655441570"},{"purpose":"MAILING","street_1":"7035 MIDDLEBROOK PIKE STE B","city":"KNOXVILLE","state":"TN","postal_code":"379091387","country_code":"US","phone":"8652008672","fax":"8655441570"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"Q003416","state":"TN","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2016-10-17","last_updated":"2019-11-27","_meta":{"source":"NPPES","snapshot_date":"2019-11-27","doc_url":"https://findmynpi.com/api"}}