{"npi":"1669095915","type":"NPI-1","status":"active","name":{"display":"Russell Miller PA","other":[],"first":"RUSSELL","last":"MILLER","middle":"COLTON","credential":"PA"},"specialty":{"primary_taxonomy":"363A00000X","primary_taxonomy_description":"Physician Assistant","slug":"physician-assistant","schema_org_specialty":null,"all":[{"code":"363A00000X","description":"Physician Assistant","primary":true,"state":"SC","license":"4772"}]},"addresses":[{"purpose":"LOCATION","street_1":"2755 S HIGHWAY 14 STE 1200L","city":"GREER","state":"SC","postal_code":"296504902","country_code":"US","phone":"8648499150","fax":"8648499334"},{"purpose":"MAILING","street_1":"PO BOX 743070","city":"ATLANTA","state":"GA","postal_code":"303743070","country_code":"US","phone":"8645604304","fax":"8645604413"}],"license":{"state":"SC","number":"4772"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"6149PA","state":"SC","issuer":null},{"type_code":"01","label":"Other","value":"SCP2527628","state":"SC","issuer":"MEDICARE PIN"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20230316002164","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"SC","pac_id":"7911371877"}]},"enumeration_date":"2020-05-21","last_updated":"2024-01-03","_meta":{"source":"NPPES","snapshot_date":"2024-01-03","doc_url":"https://findmynpi.com/api"}}