{"npi":"1528292471","type":"NPI-1","status":"active","name":{"display":"Dr. John Neely M.D.","other":[],"first":"JOHN","last":"NEELY","middle":"CHAMP","credential":"M.D."},"specialty":{"primary_taxonomy":"207P00000X","primary_taxonomy_description":"Emergency Medicine","slug":"emergency-medicine","schema_org_specialty":"Emergency","all":[{"code":"207N00000X","description":"Dermatology","primary":false,"state":"NM","license":"MD2022-1046"},{"code":"207P00000X","description":"Emergency Medicine","primary":false,"state":"TN","license":"51688"},{"code":"207R00000X","description":"Internal Medicine","primary":false,"state":"LA","license":"MD.205104"},{"code":"207P00000X","description":"Emergency Medicine","primary":true,"state":"CA","license":"A149450"}]},"addresses":[{"purpose":"LOCATION","street_1":"240 HIGHLAND DR","city":"MANY","state":"LA","postal_code":"714493718","country_code":"US","phone":"3182565691"},{"purpose":"MAILING","street_1":"338 VIA VERA CRUZ STE 100","city":"SAN MARCOS","state":"CA","postal_code":"920782645","country_code":"US","phone":"9046434353"}],"license":{"state":"CA","number":"A149450"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"2157621","state":"AR","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20141014000235","type_code":"14-93","type_desc":"PRACTITIONER - EMERGENCY MEDICINE","state":"TN","pac_id":"3072779859"},{"enrlmt_id":"I20170707003094","type_code":"14-11","type_desc":"PRACTITIONER - INTERNAL MEDICINE","state":"CA","pac_id":"3072779859"},{"enrlmt_id":"I20230223002629","type_code":"14-93","type_desc":"PRACTITIONER - EMERGENCY MEDICINE","state":"MT","pac_id":"3072779859"},{"enrlmt_id":"I20240822003060","type_code":"14-93","type_desc":"PRACTITIONER - EMERGENCY MEDICINE","state":"NM","pac_id":"3072779859"}]},"enumeration_date":"2009-05-06","last_updated":"2022-09-22","_meta":{"source":"NPPES","snapshot_date":"2022-09-22","doc_url":"https://findmynpi.com/api"}}