{"npi":"1437549896","type":"NPI-2","status":"active","name":{"display":"Vidant Medical Group Affiliates LLC","other":[],"organization_name":"VIDANT MEDICAL GROUP AFFILIATES LLC","authorised_official":"Andrew Zukowski"},"specialty":{"primary_taxonomy":"261QM1300X","primary_taxonomy_description":"Multi-Specialty Clinic/Center","slug":"multi-specialty-clinic-center","schema_org_specialty":null,"all":[{"code":"261QM1300X","description":"Multi-Specialty Clinic/Center","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"2100 STANTONSBURG RD","city":"GREENVILLE","state":"NC","postal_code":"278342818","country_code":"US","phone":"2528472181","fax":"2528472213"},{"purpose":"MAILING","street_1":"2100 STANTONSBURG RD","city":"GREENVILLE","state":"NC","postal_code":"278342818","country_code":"US","phone":"2528472181","fax":"2528472213"}],"license":null,"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20150605000882","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"NC","pac_id":"5395066138"}]},"enumeration_date":"2015-01-23","last_updated":"2023-06-07","_meta":{"source":"NPPES","snapshot_date":"2023-06-07","doc_url":"https://findmynpi.com/api"}}