{"npi":"1912221920","type":"NPI-1","status":"active","name":{"display":"Kelly Johnson MD","other":[],"first":"KELLY","last":"JOHNSON","middle":"MARIE","credential":"MD"},"specialty":{"primary_taxonomy":"207P00000X","primary_taxonomy_description":"Emergency Medicine","slug":"emergency-medicine","schema_org_specialty":"Emergency","all":[{"code":"207P00000X","description":"Emergency Medicine","primary":true,"state":"SC","license":"38322"}]},"addresses":[{"purpose":"LOCATION","street_1":"701 GROVE RD FL 1","city":"GREENVILLE","state":"SC","postal_code":"296054210","country_code":"US","phone":"8644557899","fax":"8644555474"},{"purpose":"MAILING","street_1":"300 E MCBEE AVE FL 4","city":"GREENVILLE","state":"SC","postal_code":"296012842","country_code":"US","phone":"8645228603"}],"license":{"state":"SC","number":"38322"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"383221","state":"SC","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20150825005095","type_code":"14-93","type_desc":"PRACTITIONER - EMERGENCY MEDICINE","state":"SC","pac_id":"9436375219"}]},"enumeration_date":"2010-03-19","last_updated":"2024-04-10","_meta":{"source":"NPPES","snapshot_date":"2024-04-10","doc_url":"https://findmynpi.com/api"}}