{"npi":"1780998161","type":"NPI-2","status":"active","name":{"display":"Augustine Health Group, LLC","other":[],"organization_name":"AUGUSTINE HEALTH GROUP, LLC","authorised_official":"Angela Haithcock"},"specialty":{"primary_taxonomy":"207R00000X","primary_taxonomy_description":"Internal Medicine","slug":"internal-medicine","schema_org_specialty":"Internal","all":[{"code":"207R00000X","description":"Internal Medicine","primary":true,"state":"SC","license":"5205"}]},"addresses":[{"purpose":"LOCATION","street_1":"2601 LAUREL ST","city":"COLUMBIA","state":"SC","postal_code":"292042033","country_code":"US","street_2":"SUITE 120","phone":"8032547889","fax":"8032547893"},{"purpose":"MAILING","street_1":"114 GATEWAY CORPORATE BLVD","city":"COLUMBIA","state":"SC","postal_code":"292039740","country_code":"US","street_2":"SUITE 425","phone":"8038654780","fax":"8038654932"}],"license":{"state":"SC","number":"5205"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"052052","state":"SC","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2010-07-28","last_updated":"2012-02-06","_meta":{"source":"NPPES","snapshot_date":"2012-02-06","doc_url":"https://findmynpi.com/api"}}