{"npi":"1609187517","type":"NPI-1","status":"active","name":{"display":"Dr. Charles Johnson M.D.","other":[{"code":"2","type":"Professional name","value":"JOHNSON, CHARLES E"}],"first":"CHARLES","last":"JOHNSON","credential":"M.D."},"specialty":{"primary_taxonomy":"2085R0202X","primary_taxonomy_description":"Diagnostic Radiology","slug":"diagnostic-radiology","schema_org_specialty":"Radiography","all":[{"code":"2085R0202X","description":"Diagnostic Radiology","primary":false,"state":"VA","license":"0101250181"},{"code":"2085R0202X","description":"Diagnostic Radiology","primary":false,"state":"GA","license":"89692"},{"code":"2085R0202X","description":"Diagnostic Radiology","primary":true,"state":"FL","license":"ME110710"}]},"addresses":[{"purpose":"LOCATION","street_1":"554 KEILY STREET","city":"JACKSONVILLE","state":"FL","postal_code":"32212","country_code":"US","phone":"7579537550","fax":"7579537560"},{"purpose":"MAILING","street_1":"554 KEILY STREET, BUREAU OF MEDICINE AND SURGERY","city":"JACKSONVILLE","state":"FL","postal_code":"32212","country_code":"US","street_2":"CENTRALIZED CREDENTIAL AND PRIVILEGING DIRECTORATE","phone":"7579537550","fax":"7579537560"}],"license":{"state":"FL","number":"ME110710"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20171107001691","type_code":"14-30","type_desc":"PRACTITIONER - DIAGNOSTIC RADIOLOGY","state":"FL","pac_id":"7214293273"},{"enrlmt_id":"I20191018002475","type_code":"14-30","type_desc":"PRACTITIONER - DIAGNOSTIC RADIOLOGY","state":"VA","pac_id":"7214293273"},{"enrlmt_id":"I20250404002133","type_code":"14-30","type_desc":"PRACTITIONER - DIAGNOSTIC RADIOLOGY","state":"GA","pac_id":"7214293273"}]},"enumeration_date":"2010-06-24","last_updated":"2025-10-08","_meta":{"source":"NPPES","snapshot_date":"2025-10-08","doc_url":"https://findmynpi.com/api"}}