{"npi":"1922329481","type":"NPI-1","status":"active","name":{"display":"Mary Smith MD","other":[],"first":"MARY","last":"SMITH","middle":"BETH","credential":"MD"},"specialty":{"primary_taxonomy":"208000000X","primary_taxonomy_description":"Pediatrics","slug":"pediatrics","schema_org_specialty":"Pediatric","all":[{"code":"208000000X","description":"Pediatrics","primary":true,"state":"SC","license":"LL32829"}]},"addresses":[{"purpose":"LOCATION","street_1":"603 WHEAT AVE STE 450","city":"BAINBRIDGE","state":"GA","postal_code":"398194365","country_code":"US","phone":"2292461209","fax":"2292437707"},{"purpose":"MAILING","street_1":"603 WHEAT AVE STE 450","city":"BAINBRIDGE","state":"GA","postal_code":"398194365","country_code":"US","phone":"2292461209","fax":"2292437707"}],"license":{"state":"SC","number":"LL32829"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"003136009A","state":"GA","issuer":null},{"type_code":"01","label":"Other","value":"070431","state":"GA","issuer":"MEDICAL LICENSE"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20120925000020","type_code":"33-37","type_desc":"ORDER AND REFERRING ONLY - PEDIATRIC MEDICINE","state":"SC","pac_id":"9335397918"}]},"enumeration_date":"2010-06-18","last_updated":"2022-07-21","_meta":{"source":"NPPES","snapshot_date":"2022-07-21","doc_url":"https://findmynpi.com/api"}}