{"npi":"1669705877","type":"NPI-2","status":"active","name":{"display":"Donald A. Selph JR.MD PC","other":[],"organization_name":"DONALD A. SELPH JR.MD PC","authorised_official":"Paula Selph"},"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":"GA","license":"042117"}]},"addresses":[{"purpose":"LOCATION","street_1":"911 PLAZA AVE","city":"EASTMAN","state":"GA","postal_code":"310236785","country_code":"US","street_2":"SUITE D","phone":"4783745544","fax":"4783740608"},{"purpose":"MAILING","street_1":"911 PLAZA AVE","city":"EASTMAN","state":"GA","postal_code":"310236785","country_code":"US","street_2":"SUITE D","phone":"4783745544","fax":"4783740608"}],"license":{"state":"GA","number":"042117"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"00795165A","state":"GA","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20090918000088","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"GA","pac_id":"9739235664"}]},"enumeration_date":"2009-09-08","last_updated":"2009-09-08","_meta":{"source":"NPPES","snapshot_date":"2009-09-08","doc_url":"https://findmynpi.com/api"}}