{
  "npi": "1043411184",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_first_name": "EMILY",
    "authorized_official_last_name": "STURGILL",
    "authorized_official_middle_name": "JANE",
    "authorized_official_name_prefix": "--",
    "authorized_official_name_suffix": "--",
    "authorized_official_telephone_number": "2766798890",
    "authorized_official_title_or_position": "PRACTICE MANAGER",
    "enumeration_date": "2007-05-29",
    "last_updated": "2020-08-22",
    "organization_name": "COMMUNITY PHYSICIANS SERVICES CORPORATION",
    "organizational_subpart": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "96 15TH ST NW",
      "address_2": "SUITE 104",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "NORTON",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "276-679-9740",
      "postal_code": "242731620",
      "state": "VA",
      "telephone_number": "276-679-8890"
    },
    {
      "address_1": "485 FRONT STREET",
      "address_2": "MARTY SHOPPING CENTER",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "COEBURN",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "276-395-6634",
      "postal_code": "24230",
      "state": "VA",
      "telephone_number": "276-395-2389"
    }
  ],
  "taxonomies": [
    {
      "code": "261Q00000X",
      "desc": "Clinic/Center",
      "license": null,
      "primary": true,
      "state": null,
      "taxonomy_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": "Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center",
    "certifying_board": "Accreditation Association for Ambulatory Health Care (AAAHC) / CMS",
    "cms_medicare_crosswalk": [
      {
        "medicare_code": "70",
        "medicare_type": "Clinic or Group Practice"
      }
    ]
  }
}