{"npi":"1396742532","type":"NPI-2","status":"active","name":{"display":"Amerisouth Mobility, LLC","other":[],"organization_name":"AMERISOUTH MOBILITY, LLC","authorised_official":"Jason Dannenberg"},"specialty":{"primary_taxonomy":"332B00000X","primary_taxonomy_description":"Durable Medical Equipment & Medical Supplies","slug":"durable-medical-equipment-medical-supplies","schema_org_specialty":null,"all":[{"code":"332B00000X","description":"Durable Medical Equipment & Medical Supplies","primary":true,"state":"GA","license":"K931128"}]},"addresses":[{"purpose":"LOCATION","street_1":"26 EXECUTIVE PARK W","city":"ATLANTA","state":"GA","postal_code":"303292202","country_code":"US","street_2":"SUITE 2603","phone":"4043215500","fax":"4043215530"},{"purpose":"MAILING","street_1":"26 EXECUTIVE PARK W","city":"ATLANTA","state":"GA","postal_code":"303292202","country_code":"US","street_2":"SUITE 2603","phone":"4043215500","fax":"4043215530"}],"license":{"state":"GA","number":"K931128"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"00849142A","state":"GA","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2005-07-01","last_updated":"2020-08-22","_meta":{"source":"NPPES","snapshot_date":"2020-08-22","doc_url":"https://findmynpi.com/api"}}