{"npi":"1609560911","type":"NPI-1","status":"active","name":{"display":"Mr. Jerry Clevinger PA-C","other":[],"first":"JERRY","last":"CLEVINGER","middle":"WESLEY","credential":"PA-C"},"specialty":{"primary_taxonomy":"363AM0700X","primary_taxonomy_description":"Medical Physician Assistant","slug":"medical-physician-assistant","schema_org_specialty":null,"all":[{"code":"363AM0700X","description":"Medical Physician Assistant","primary":true,"state":"KY","license":"PA3210"}]},"addresses":[{"purpose":"LOCATION","street_1":"617 CHAMBERLIN AVE","city":"FRANKFORT","state":"KY","postal_code":"406014220","country_code":"US","phone":"5026992285"},{"purpose":"MAILING","street_1":"617 CHAMBERLIN AVE","city":"FRANKFORT","state":"KY","postal_code":"406014220","country_code":"US","phone":"5026992285"}],"license":{"state":"KY","number":"PA3210"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20230913001092","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"KY","pac_id":"8729442553"}]},"enumeration_date":"2023-06-08","last_updated":"2024-09-04","_meta":{"source":"NPPES","snapshot_date":"2024-09-04","doc_url":"https://findmynpi.com/api"}}