{"npi":"1407007552","type":"NPI-1","status":"active","name":{"display":"Johnny Washington MD","other":[],"first":"JOHNNY","last":"WASHINGTON","credential":"MD"},"specialty":{"primary_taxonomy":"207X00000X","primary_taxonomy_description":"Orthopaedic Surgery","slug":"orthopedic-surgery","schema_org_specialty":"PlasticSurgery","all":[{"code":"207XX0005X","description":"Orthopaedic Sports Medicine","primary":false,"state":"GA","license":"64298"},{"code":"207X00000X","description":"Orthopaedic Surgery","primary":true,"state":"FL","license":"ME133343"}]},"addresses":[{"purpose":"LOCATION","street_1":"655 W 8TH ST","city":"JACKSONVILLE","state":"FL","postal_code":"322096511","country_code":"US","phone":"9043831010","fax":"9042443457"},{"purpose":"MAILING","street_1":"PO BOX 44008","city":"JACKSONVILLE","state":"FL","postal_code":"322314008","country_code":"US","phone":"9043831010","fax":"9042443457"}],"license":{"state":"FL","number":"ME133343"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"003150119L","state":"GA","issuer":null},{"type_code":"05","label":"Medicaid","value":"003150119D","state":"GA","issuer":null},{"type_code":"05","label":"Medicaid","value":"003150119I","state":"GA","issuer":null},{"type_code":"01","label":"Other","value":"02427208","state":"GA","issuer":"AMERIGROUP"},{"type_code":"05","label":"Medicaid","value":"003150119C","state":"GA","issuer":null},{"type_code":"05","label":"Medicaid","value":"003150119G","state":"GA","issuer":null},{"type_code":"05","label":"Medicaid","value":"003150119J","state":"GA","issuer":null},{"type_code":"01","label":"Other","value":"1023416","state":null,"issuer":"WELLCARE"},{"type_code":"05","label":"Medicaid","value":"003150119E","state":"GA","issuer":null},{"type_code":"05","label":"Medicaid","value":"003150119H","state":"GA","issuer":null},{"type_code":"05","label":"Medicaid","value":"003150119K","state":"GA","issuer":null},{"type_code":"01","label":"Other","value":"0532272","state":"GA","issuer":"CIGNA"},{"type_code":"05","label":"Medicaid","value":"003150119F","state":"GA","issuer":null},{"type_code":"01","label":"Other","value":"202I208229","state":"GA","issuer":"MEDICARE"},{"type_code":"05","label":"Medicaid","value":"003150119A","state":"GA","issuer":null},{"type_code":"05","label":"Medicaid","value":"003150119B","state":"GA","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20150120001302","type_code":"14-20","type_desc":"PRACTITIONER - ORTHOPEDIC SURGERY","state":"GA","pac_id":"7416271580"},{"enrlmt_id":"I20170923000420","type_code":"14-20","type_desc":"PRACTITIONER - ORTHOPEDIC SURGERY","state":"FL","pac_id":"7416271580"}]},"enumeration_date":"2008-10-07","last_updated":"2022-07-21","_meta":{"source":"NPPES","snapshot_date":"2022-07-21","doc_url":"https://findmynpi.com/api"}}