{"npi":"1659444545","type":"NPI-2","status":"active","name":{"display":"South Georgia Clinic Of Chiropractic Medicine","other":[],"organization_name":"SOUTH GEORGIA CLINIC OF CHIROPRACTIC MEDICINE","authorised_official":"Carl Sircy"},"specialty":{"primary_taxonomy":"111N00000X","primary_taxonomy_description":"Chiropractor","slug":"chiropractor","schema_org_specialty":null,"all":[{"code":"111N00000X","description":"Chiropractor","primary":true,"state":"GA","license":"005944"}]},"addresses":[{"purpose":"LOCATION","street_1":"720 S MAIN ST","city":"MOULTRIE","state":"GA","postal_code":"317685450","country_code":"US","phone":"2299851370"},{"purpose":"MAILING","street_1":"720 S MAIN ST","city":"MOULTRIE","state":"GA","postal_code":"317685450","country_code":"US","phone":"2299851370"}],"license":{"state":"GA","number":"005944"},"identifiers":[{"type_code":"01","label":"Other","value":"52671605","state":"GA","issuer":"BCBS"},{"type_code":"05","label":"Medicaid","value":"55003710A","state":"GA","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20100210000051","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"GA","pac_id":"9830232057"}]},"enumeration_date":"2006-11-16","last_updated":"2008-02-01","_meta":{"source":"NPPES","snapshot_date":"2008-02-01","doc_url":"https://findmynpi.com/api"}}