{"npi":"1790945475","type":"NPI-2","status":"active","name":{"display":"Full Body Rejuvenetion Center, LLC","other":[],"organization_name":"FULL BODY REJUVENETION CENTER, LLC","authorised_official":"Nailah Smith"},"specialty":{"primary_taxonomy":"111N00000X","primary_taxonomy_description":"Chiropractor","slug":"chiropractor","schema_org_specialty":null,"all":[{"code":"111N00000X","description":"Chiropractor","primary":true,"state":"GA","license":"CHIR007963"}]},"addresses":[{"purpose":"LOCATION","street_1":"3636 PANOLA RD","city":"LITHONIA","state":"GA","postal_code":"300382733","country_code":"US","street_2":"SUITE B","phone":"6786091586"},{"purpose":"MAILING","street_1":"3636 PANOLA RD","city":"LITHONIA","state":"GA","postal_code":"300382733","country_code":"US","street_2":"SUITE B","phone":"6786091586"}],"license":{"state":"GA","number":"CHIR007963"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20080715000607","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"GA","pac_id":"8820161433"}]},"enumeration_date":"2008-06-16","last_updated":"2008-07-15","_meta":{"source":"NPPES","snapshot_date":"2008-07-15","doc_url":"https://findmynpi.com/api"}}