{"npi":"1497056865","type":"NPI-2","status":"active","name":{"display":"Albert E Henderson MD PC","other":[],"organization_name":"ALBERT E HENDERSON MD PC","authorised_official":"Albert Henderson"},"specialty":{"primary_taxonomy":"207R00000X","primary_taxonomy_description":"Internal Medicine","slug":"internal-medicine","schema_org_specialty":"Internal","all":[{"code":"207R00000X","description":"Internal Medicine","primary":true,"state":"GA","license":"024948"}]},"addresses":[{"purpose":"LOCATION","street_1":"330 OAK ST","city":"SAINT SIMONS ISLAND","state":"GA","postal_code":"315224725","country_code":"US","phone":"9122584075","fax":"9126342371"},{"purpose":"MAILING","street_1":"330 OAK ST","city":"SAINT SIMONS ISLAND","state":"GA","postal_code":"315224725","country_code":"US","phone":"9122584075","fax":"9126342371"}],"license":{"state":"GA","number":"024948"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"00261522L","state":"GA","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2010-11-16","last_updated":"2010-11-16","_meta":{"source":"NPPES","snapshot_date":"2010-11-16","doc_url":"https://findmynpi.com/api"}}