{"npi":"1891714747","type":"NPI-1","status":"active","name":{"display":"Dr. J. Waller DPM, P.C.","other":[],"first":"J.","last":"WALLER","middle":"GREGORY","credential":"DPM,P.C."},"specialty":{"primary_taxonomy":"213E00000X","primary_taxonomy_description":"Podiatry","slug":"podiatry","schema_org_specialty":"Podiatric","all":[{"code":"213E00000X","description":"Podiatry","primary":true,"state":"GA","license":"000746"}]},"addresses":[{"purpose":"LOCATION","street_1":"602 PAT HARALSON DR","city":"BLAIRSVILLE","state":"GA","postal_code":"305128414","country_code":"US","phone":"7067456764","fax":"7067457170"},{"purpose":"MAILING","street_1":"602 PAT HARALSON DR","city":"BLAIRSVILLE","state":"GA","postal_code":"305128414","country_code":"US","phone":"7067456764","fax":"7067457170"}],"license":{"state":"GA","number":"000746"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"000642672A","state":"GA","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20080721000568","type_code":"14-48","type_desc":"PRACTITIONER - PODIATRY","state":"GA","pac_id":"2365515509"}]},"enumeration_date":"2006-07-19","last_updated":"2012-06-05","_meta":{"source":"NPPES","snapshot_date":"2012-06-05","doc_url":"https://findmynpi.com/api"}}