{"npi":"1669869566","type":"NPI-1","status":"active","name":{"display":"Charles Davis MD","other":[],"first":"CHARLES","last":"DAVIS","middle":"DONAVAN","credential":"MD"},"specialty":{"primary_taxonomy":"208000000X","primary_taxonomy_description":"Pediatrics","slug":"pediatrics","schema_org_specialty":"Pediatric","all":[{"code":"208000000X","description":"Pediatrics","primary":true,"state":"OH","license":"35.134233"}]},"addresses":[{"purpose":"LOCATION","street_1":"100 JACKSON PIKE","city":"GALLIPOLIS","state":"OH","postal_code":"45631","country_code":"US","phone":"8554465937","fax":"7404465711"},{"purpose":"MAILING","street_1":"90 JACKSON PIKE","city":"GALLIPOLIS","state":"OH","postal_code":"456311562","country_code":"US","phone":"8554465937","fax":"7404465711"}],"license":{"state":"OH","number":"35.134233"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"0311469","state":"OH","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20190220000048","type_code":"14-37","type_desc":"PRACTITIONER - PEDIATRIC MEDICINE","state":"WV","pac_id":"6901113810"}]},"enumeration_date":"2015-04-20","last_updated":"2021-01-21","_meta":{"source":"NPPES","snapshot_date":"2021-01-21","doc_url":"https://findmynpi.com/api"}}