{"npi":"1578517876","type":"NPI-1","status":"active","name":{"display":"Melissa Davidson PA","other":[],"first":"MELISSA","last":"DAVIDSON","middle":"M","credential":"PA"},"specialty":{"primary_taxonomy":"363A00000X","primary_taxonomy_description":"Physician Assistant","slug":"physician-assistant","schema_org_specialty":null,"all":[{"code":"363AM0700X","description":"Medical Physician Assistant","primary":false,"state":"GA","license":"002192"},{"code":"363A00000X","description":"Physician Assistant","primary":true,"state":"GA","license":"002192"}]},"addresses":[{"purpose":"LOCATION","street_1":"4800 OLDE TOWNE PKWY STE 150A","city":"MARIETTA","state":"GA","postal_code":"300684357","country_code":"US","phone":"7705091025","fax":"7705091884"},{"purpose":"MAILING","street_1":"PO BOX 2968","city":"KENNESAW","state":"GA","postal_code":"301569117","country_code":"US","phone":"7707790015"}],"license":{"state":"GA","number":"002192"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"100001575B","state":"GA","issuer":null},{"type_code":"01","label":"Other","value":"10038125","state":"GA","issuer":"AMERIGROUP"},{"type_code":"01","label":"Other","value":"333457","state":"GA","issuer":"WELLCARE"},{"type_code":"05","label":"Medicaid","value":"100001575C","state":"GA","issuer":null},{"type_code":"05","label":"Medicaid","value":"100001575","state":"GA","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20040528000707","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"GA","pac_id":"0345221941"}]},"enumeration_date":"2006-05-20","last_updated":"2021-02-26","_meta":{"source":"NPPES","snapshot_date":"2021-02-26","doc_url":"https://findmynpi.com/api"}}