{"npi":"1699215541","type":"NPI-2","status":"active","name":{"display":"Mary M Feldman MD LLC","other":[],"organization_name":"MARY M FELDMAN MD LLC","authorised_official":"Mary Feldman"},"specialty":{"primary_taxonomy":"261QM2500X","primary_taxonomy_description":"Medical Specialty Clinic/Center","slug":"medical-specialty-clinic-center","schema_org_specialty":null,"all":[{"code":"261QM2500X","description":"Medical Specialty Clinic/Center","primary":true,"state":"GA","license":"69043"}]},"addresses":[{"purpose":"LOCATION","street_1":"100 PROFESSIONAL PL","city":"CARROLLTON","state":"GA","postal_code":"301173874","country_code":"US","street_2":"STE 110","phone":"7708340818","fax":"7708345098"},{"purpose":"MAILING","street_1":"100 PROFESSIONAL PL","city":"CARROLLTON","state":"GA","postal_code":"301173874","country_code":"US","street_2":"STE 110","phone":"7708340818","fax":"7708345098"}],"license":{"state":"GA","number":"69043"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20170417001271","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"GA","pac_id":"7416233952"}]},"enumeration_date":"2017-02-26","last_updated":"2017-02-26","_meta":{"source":"NPPES","snapshot_date":"2017-02-26","doc_url":"https://findmynpi.com/api"}}