{
  "npi": "1033175906",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_credential": "M.D.",
    "authorized_official_first_name": "CLIFTON",
    "authorized_official_last_name": "SALMON",
    "authorized_official_middle_name": "WALES",
    "authorized_official_name_prefix": "--",
    "authorized_official_name_suffix": "--",
    "authorized_official_telephone_number": "3189276777",
    "authorized_official_title_or_position": "Owner",
    "enumeration_date": "2006-04-21",
    "last_updated": "2020-08-22",
    "organization_name": "FAMILY MEDICAL CLINIC OF HOMER, LA INC",
    "organizational_subpart": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "PO BOX 300",
      "address_2": "104 MORRIS CIRCLE",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "HOMER",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "318-927-6714",
      "postal_code": "710400300",
      "state": "LA",
      "telephone_number": "318-927-6777"
    },
    {
      "address_1": "104 MORRIS CIR",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "HOMER",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "318-927-6714",
      "postal_code": "710402100",
      "state": "LA",
      "telephone_number": "318-927-6777"
    }
  ],
  "taxonomies": [
    {
      "code": "207Q00000X",
      "desc": "Family Medicine",
      "license": "018524",
      "primary": true,
      "state": "LA",
      "taxonomy_group": "193400000X - Single Specialty Group"
    }
  ],
  "compliance": {
    "oig_leie_exclusion": {
      "excluded": false,
      "status": "CLEAR",
      "matches": [],
      "totalDbRecords": 84224
    },
    "cms_pecos_eligibility": {
      "note": "Not listed in CMS Order & Referring PECOS file or institutional NPI-2"
    }
  },
  "medicare_utilization": null,
  "enrichment": {
    "plain_english_specialty": "Board-Certified Family Medicine Physician (All-Ages Primary Care Doctor)",
    "certifying_board": "American Board of Family Medicine (ABFM)",
    "cms_medicare_crosswalk": [
      {
        "medicare_code": "08",
        "medicare_type": "Physician/Family Practice"
      }
    ]
  }
}