{"npi":"1649680406","type":"NPI-1","status":"active","name":{"display":"Charles Clark M.D.","other":[],"first":"CHARLES","last":"CLARK","middle":"AMOS","credential":"M.D."},"specialty":{"primary_taxonomy":"207R00000X","primary_taxonomy_description":"Internal Medicine","slug":"internal-medicine","schema_org_specialty":"Internal","all":[{"code":"207RH0003X","description":"Hematology & Oncology","primary":false,"state":"TN","license":"56206"},{"code":"207R00000X","description":"Internal Medicine","primary":true,"state":"TN","license":"56206"}]},"addresses":[{"purpose":"LOCATION","street_1":"VANDERBILT UNIVERSITY DEPT OF MEDICINE","city":"NASHVILLE","state":"TN","postal_code":"37232","country_code":"US","street_2":"D-3100, MEDICAL CENTER NORTH","phone":"6153220417"},{"purpose":"MAILING","street_1":"3841 GREEN HILLS VILLAGE DR STE 200","city":"NASHVILLE","state":"TN","postal_code":"372152691","country_code":"US","phone":"6159362000","fax":"6159360605"}],"license":{"state":"TN","number":"56206"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"Q031277","state":"TN","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20171019001923","type_code":"14-11","type_desc":"PRACTITIONER - INTERNAL MEDICINE","state":"TN","pac_id":"8426348459"}]},"enumeration_date":"2014-05-02","last_updated":"2022-03-26","_meta":{"source":"NPPES","snapshot_date":"2022-03-26","doc_url":"https://findmynpi.com/api"}}