{"npi":"1740280551","type":"NPI-1","status":"active","name":{"display":"Dr. Jae Pak M.D.","other":[],"first":"JAE","last":"PAK","middle":"H","credential":"M.D."},"specialty":{"primary_taxonomy":"2084P0805X","primary_taxonomy_description":"Geriatric Psychiatry Physician","slug":"geriatric-psychiatry-physician","schema_org_specialty":null,"all":[{"code":"2084P0805X","description":"Geriatric Psychiatry Physician","primary":true,"state":"GA","license":"040185"}]},"addresses":[{"purpose":"LOCATION","street_1":"2160 FOUNTAIN DR","city":"SNELLVILLE","state":"GA","postal_code":"300787022","country_code":"US","street_2":"SUITE 200","phone":"7709821111","fax":"7709827280"},{"purpose":"MAILING","street_1":"2160 FOUNTAIN DR","city":"SNELLVILLE","state":"GA","postal_code":"300787022","country_code":"US","street_2":"SUITE 200","phone":"7709821111","fax":"7709827280"}],"license":{"state":"GA","number":"040185"},"identifiers":[{"type_code":"01","label":"Other","value":"10594474","state":"GA","issuer":"CAQH"},{"type_code":"05","label":"Medicaid","value":"000678477E","state":"GA","issuer":null},{"type_code":"01","label":"Other","value":"26BDJZQ","state":"GA","issuer":"MEDICARE PTAN"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20050513000051","type_code":"14-26","type_desc":"PRACTITIONER - PSYCHIATRY","state":"GA","pac_id":"6305887985"}]},"enumeration_date":"2005-07-22","last_updated":"2016-06-03","_meta":{"source":"NPPES","snapshot_date":"2016-06-03","doc_url":"https://findmynpi.com/api"}}