{"npi":"1659074482","type":"NPI-2","status":"active","name":{"display":"Middle Georgia Mental Health, LLC","other":[],"organization_name":"MIDDLE GEORGIA MENTAL HEALTH, LLC","authorised_official":"Bailey Goodman"},"specialty":{"primary_taxonomy":"103T00000X","primary_taxonomy_description":"Psychologist","slug":"psychologist","schema_org_specialty":null,"all":[{"code":"103T00000X","description":"Psychologist","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"2278 MOODY RD STE D","city":"WARNER ROBINS","state":"GA","postal_code":"310881933","country_code":"US","phone":"7062703022"},{"purpose":"MAILING","street_1":"2278 MOODY RD STE D","city":"WARNER ROBINS","state":"GA","postal_code":"310881933","country_code":"US","phone":"7062703022"}],"license":null,"identifiers":[],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2023-03-22","last_updated":"2024-11-19","_meta":{"source":"NPPES","snapshot_date":"2024-11-19","doc_url":"https://findmynpi.com/api"}}