{"npi":"1760743751","type":"NPI-1","status":"active","name":{"display":"Crystal Johnson-Mann M.D.","other":[{"code":"1","type":"Formerly known as","value":"JOHNSON, CRYSTAL"}],"first":"CRYSTAL","last":"JOHNSON-MANN","credential":"M.D."},"specialty":{"primary_taxonomy":"208600000X","primary_taxonomy_description":"Surgery","slug":"surgery","schema_org_specialty":"Surgical","all":[{"code":"208600000X","description":"Surgery","primary":false,"state":"SC","license":"LL34777"},{"code":"208600000X","description":"Surgery","primary":true,"state":"VA","license":"0101261806"}]},"addresses":[{"purpose":"LOCATION","street_1":"1600 SW ARCHER RD","city":"GAINESVILLE","state":"FL","postal_code":"326100109","country_code":"US","phone":"3522650761"},{"purpose":"MAILING","street_1":"PO BOX 9007","city":"CHARLOTTESVILLE","state":"VA","postal_code":"229069007","country_code":"US"}],"license":{"state":"VA","number":"0101261806"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"100283200","state":"FL","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20180918003119","type_code":"14-02","type_desc":"PRACTITIONER - GENERAL SURGERY","state":"FL","pac_id":"1456572924"}]},"enumeration_date":"2012-06-06","last_updated":"2019-01-03","_meta":{"source":"NPPES","snapshot_date":"2019-01-03","doc_url":"https://findmynpi.com/api"}}