{"npi":"1821367046","type":"NPI-2","status":"active","name":{"display":"Southern Dermatology LLC","other":[],"organization_name":"SOUTHERN DERMATOLOGY LLC","authorised_official":"John Cook"},"specialty":{"primary_taxonomy":"207N00000X","primary_taxonomy_description":"Dermatology","slug":"dermatology","schema_org_specialty":"Dermatologic","all":[{"code":"207N00000X","description":"Dermatology","primary":true,"state":"SC","license":"11685"}]},"addresses":[{"purpose":"LOCATION","street_1":"2110 WOODSIDE EXECUTIVE CT","city":"AIKEN","state":"SC","postal_code":"298033809","country_code":"US","phone":"8036445779"},{"purpose":"MAILING","street_1":"2110 WOODSIDE EXECUTIVE CT","city":"AIKEN","state":"SC","postal_code":"298033809","country_code":"US","phone":"8036445779"}],"license":{"state":"SC","number":"11685"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"GP2477","state":"SC","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2011-12-16","last_updated":"2011-12-16","_meta":{"source":"NPPES","snapshot_date":"2011-12-16","doc_url":"https://findmynpi.com/api"}}