{"npi":"1699786079","type":"NPI-1","status":"active","name":{"display":"Dr. Shane Mull M.D.","other":[],"first":"SHANE","last":"MULL","middle":"R","credential":"M.D."},"specialty":{"primary_taxonomy":"207Q00000X","primary_taxonomy_description":"Family Medicine","slug":"family-medicine","schema_org_specialty":"PrimaryCare","all":[{"code":"207P00000X","description":"Emergency Medicine","primary":false,"state":"SC","license":"23962"},{"code":"207Q00000X","description":"Family Medicine","primary":true,"state":"SC","license":"23962"},{"code":"207Q00000X","description":"Family Medicine","primary":false,"state":"NC","license":"2009-01329"}]},"addresses":[{"purpose":"LOCATION","street_1":"3209 COLONIAL DR","city":"COLUMBIA","state":"SC","postal_code":"292036930","country_code":"US","street_2":"USC- FAMILY & PREVENTIVE MEDICINE","phone":"8034346113","fax":"8034347231"},{"purpose":"MAILING","street_1":"234 WESTLAKE FARMS DR","city":"BLYTHEWOOD","state":"SC","postal_code":"290168325","country_code":"US","phone":"8039179333"}],"license":{"state":"SC","number":"23962"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"LL4378","state":"SC","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20040824000902","type_code":"14-08","type_desc":"PRACTITIONER - FAMILY PRACTICE","state":"SC","pac_id":"8820062912"}]},"enumeration_date":"2006-08-10","last_updated":"2015-03-26","_meta":{"source":"NPPES","snapshot_date":"2015-03-26","doc_url":"https://findmynpi.com/api"}}