{"npi":"1861865016","type":"NPI-1","status":"active","name":{"display":"Elizabeth Burbage","other":[],"first":"ELIZABETH","last":"BURBAGE"},"specialty":{"primary_taxonomy":"363A00000X","primary_taxonomy_description":"Physician Assistant","slug":"physician-assistant","schema_org_specialty":null,"all":[{"code":"363A00000X","description":"Physician Assistant","primary":true,"state":"SC","license":"PA2709"},{"code":"363A00000X","description":"Physician Assistant","primary":false,"state":"GA","license":"7788"}]},"addresses":[{"purpose":"LOCATION","street_1":"14 RICHLAND MEDICAL PARK DR STE 310","city":"COLUMBIA","state":"SC","postal_code":"292036883","country_code":"US","phone":"8034348450","fax":"8037580137"},{"purpose":"MAILING","street_1":"PO BOX 743904","city":"ATLANTA","state":"GA","postal_code":"303743904","country_code":"US","phone":"8032967320","fax":"8032967330"}],"license":{"state":"SC","number":"PA2709"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"2945PA","state":"SC","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20170530001707","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"SC","pac_id":"4385948595"}]},"enumeration_date":"2015-11-10","last_updated":"2019-05-03","_meta":{"source":"NPPES","snapshot_date":"2019-05-03","doc_url":"https://findmynpi.com/api"}}