{"npi":"1659182467","type":"NPI-2","status":"active","name":{"display":"Carestar Medical Partners LLC","other":[],"organization_name":"CARESTAR MEDICAL PARTNERS LLC","authorised_official":"Philip Bannor"},"specialty":{"primary_taxonomy":"207R00000X","primary_taxonomy_description":"Internal Medicine","slug":"internal-medicine","schema_org_specialty":"Internal","all":[{"code":"207R00000X","description":"Internal Medicine","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"1720 GUNBARREL RD STE 300","city":"CHATTANOOGA","state":"TN","postal_code":"374213192","country_code":"US","phone":"4235050616"},{"purpose":"MAILING","street_1":"710 LANTANA DR","city":"SMYRNA","state":"TN","postal_code":"371675875","country_code":"US","phone":"4235050616","fax":"4234978701"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"Q110616","state":"TN","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20250904002880","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"TN","pac_id":"9133621634"}]},"enumeration_date":"2025-01-20","last_updated":"2026-05-21","_meta":{"source":"NPPES","snapshot_date":"2026-05-21","doc_url":"https://findmynpi.com/api"}}