{"npi":"1528656642","type":"NPI-2","status":"active","name":{"display":"Georgia Pelvic Health & Wellness","other":[],"organization_name":"GEORGIA PELVIC HEALTH & WELLNESS","authorised_official":"Kelly Mcclain"},"specialty":{"primary_taxonomy":"225100000X","primary_taxonomy_description":"Physical Therapist","slug":"physical-therapist","schema_org_specialty":null,"all":[{"code":"225100000X","description":"Physical Therapist","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"205 REDMOND RD NW","city":"ROME","state":"GA","postal_code":"301651537","country_code":"US","phone":"7068445844"},{"purpose":"MAILING","street_1":"205 REDMOND RD NW","city":"ROME","state":"GA","postal_code":"301651537","country_code":"US"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"2021652400","state":"GA","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20200609001265","type_code":"12-65","type_desc":"PART B SUPPLIER - PHYSICAL/OCCUPATIONAL THERAPY GROUP IN PRIVATE PRACTICE","state":"GA","pac_id":"1456565423"},{"enrlmt_id":"O20210825004281","type_code":"12-65","type_desc":"PART B SUPPLIER - PHYSICAL/OCCUPATIONAL THERAPY GROUP IN PRIVATE PRACTICE","state":"GA","pac_id":"8820493083"}]},"enumeration_date":"2021-01-05","last_updated":"2023-01-19","_meta":{"source":"NPPES","snapshot_date":"2023-01-19","doc_url":"https://findmynpi.com/api"}}