{"npi":"1982924502","type":"NPI-1","status":"active","name":{"display":"Dr. Kristy Conlon DO","other":[{"code":"1","type":"Formerly known as","value":"WIEBKE, KRISTY MICHELLE"}],"first":"KRISTY","last":"CONLON","middle":"MICHELLE","credential":"DO"},"specialty":{"primary_taxonomy":"2086S0129X","primary_taxonomy_description":"Vascular Surgery Physician","slug":"vascular-surgery-physician","schema_org_specialty":null,"all":[{"code":"208600000X","description":"Surgery","primary":false,"state":"FL","license":"UO2440"},{"code":"2086S0129X","description":"Vascular Surgery Physician","primary":true,"state":"GA","license":"78850"},{"code":"208600000X","description":"Surgery","primary":false,"state":"LA","license":"DO000449"}]},"addresses":[{"purpose":"LOCATION","street_1":"11909 MCAULEY DRIVE","city":"SAVANNAH","state":"GA","postal_code":"31419","country_code":"US","street_2":"BLDG 100 A2","phone":"9123548331","fax":"9123529782"},{"purpose":"MAILING","street_1":"836 E. 65TH STREET","city":"SAVANNAH","state":"GA","postal_code":"31405","country_code":"US","street_2":"SUITE 22","phone":"9128197878","fax":"9128193320"}],"license":{"state":"GA","number":"78850"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"003194369A","state":"GA","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20171129000555","type_code":"14-77","type_desc":"PRACTITIONER - VASCULAR SURGERY","state":"GA","pac_id":"7810254869"}]},"enumeration_date":"2010-06-05","last_updated":"2021-03-15","_meta":{"source":"NPPES","snapshot_date":"2021-03-15","doc_url":"https://findmynpi.com/api"}}