{"npi":"1982195343","type":"NPI-2","status":"active","name":{"display":"Wellstreet Of Georgia PC","other":[],"organization_name":"WELLSTREET OF GEORGIA PC","authorised_official":"Samantha Alvord"},"specialty":{"primary_taxonomy":"332900000X","primary_taxonomy_description":"Non-Pharmacy Dispensing Site","slug":"non-pharmacy-dispensing-site","schema_org_specialty":null,"all":[{"code":"332900000X","description":"Non-Pharmacy Dispensing Site","primary":true,"state":"GA","license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"3999 AUSTELL RD STE 901","city":"AUSTELL","state":"GA","postal_code":"301061160","country_code":"US","phone":"7708093032"},{"purpose":"MAILING","street_1":"3350 RIVERWOOD PKWY SE STE 1850","city":"ATLANTA","state":"GA","postal_code":"303393300","country_code":"US","phone":"7708093036"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"003135883C","state":"GA","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2018-05-22","last_updated":"2018-05-22","_meta":{"source":"NPPES","snapshot_date":"2018-05-22","doc_url":"https://findmynpi.com/api"}}