{"npi":"1730260613","type":"NPI-1","status":"active","name":{"display":"Gregory Timberlake MD","other":[],"first":"GREGORY","last":"TIMBERLAKE","credential":"MD"},"specialty":{"primary_taxonomy":"2086S0102X","primary_taxonomy_description":"Surgical Critical Care Physician","slug":"surgical-critical-care-physician","schema_org_specialty":null,"all":[{"code":"208600000X","description":"Surgery","primary":false,"state":"MS","license":"17108"},{"code":"2086S0102X","description":"Surgical Critical Care Physician","primary":true,"state":"MS","license":"17108"}]},"addresses":[{"purpose":"LOCATION","street_1":"2500 N STATE ST","city":"JACKSON","state":"MS","postal_code":"392164500","country_code":"US","phone":"6019841000","fax":"6018154570"},{"purpose":"MAILING","street_1":"PO BOX 3287","city":"JACKSON","state":"MS","postal_code":"392073287","country_code":"US","phone":"6019841000","fax":"6018154570"}],"license":{"state":"MS","number":"17108"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"00123637","state":"MS","issuer":null},{"type_code":"01","label":"Other","value":"P01233200","state":"MS","issuer":"RAILROAD MEDICARE"}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2006-10-18","last_updated":"2013-12-16","_meta":{"source":"NPPES","snapshot_date":"2013-12-16","doc_url":"https://findmynpi.com/api"}}