{"npi":"1770307191","type":"NPI-2","status":"active","name":{"display":"Metro Infectious Disease Consultants LLC","other":[],"organization_name":"METRO INFECTIOUS DISEASE CONSULTANTS LLC","authorised_official":"Russell Petrak"},"specialty":{"primary_taxonomy":"207RI0200X","primary_taxonomy_description":"Infectious Disease","slug":"infectious-disease","schema_org_specialty":"Infectious","all":[{"code":"207RI0200X","description":"Infectious Disease","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"7823 SPIVEY STATION BLVD STE 360","city":"JONESBORO","state":"GA","postal_code":"302362886","country_code":"US","phone":"7707411750"},{"purpose":"MAILING","street_1":"901 MCCLINTOCK DR STE 202","city":"BURR RIDGE","state":"IL","postal_code":"605270872","country_code":"US","phone":"6302206432","fax":"6306544253"}],"license":null,"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20250417002871","type_code":"30-44","type_desc":"DME SUPPLIER - PHYSICIAN - INFECTIOUS DISEASE","state":"GA","pac_id":"3072425784"}]},"enumeration_date":"2024-11-12","last_updated":"2024-11-12","_meta":{"source":"NPPES","snapshot_date":"2024-11-12","doc_url":"https://findmynpi.com/api"}}