{
  "npi": "1073881694",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_first_name": "SCOTT",
    "authorized_official_last_name": "RISSMILLER",
    "authorized_official_telephone_number": "7043558675",
    "authorized_official_title_or_position": "Enterprise EVP",
    "enumeration_date": "2011-12-09",
    "last_updated": "2023-03-09",
    "organization_name": "CAROLINAS PHYSICIANS NETWORK INC",
    "organizational_subpart": "YES",
    "parent_organization_legal_business_name": "CAROLINAS PHYSICIANS NETWORK INC",
    "status": "A"
  },
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    {
      "address_1": "141 TRYON RD",
      "address_2": "STE A",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "RUTHERFORDTON",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "281393099",
      "state": "NC",
      "telephone_number": "828-286-9049"
    },
    {
      "address_1": "PO BOX 19305",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "CHARLOTTE",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "282199305",
      "state": "NC",
      "telephone_number": "704-631-0002"
    }
  ],
  "taxonomies": [
    {
      "code": "2080A0000X",
      "desc": "Pediatrics, Adolescent Medicine",
      "license": null,
      "primary": false,
      "state": null,
      "taxonomy_group": "193200000X - Multi-Specialty Group"
    },
    {
      "code": "208000000X",
      "desc": "Pediatrics",
      "license": null,
      "primary": true,
      "state": null,
      "taxonomy_group": "193200000X - Multi-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 Pediatrician (Infant, Child & Adolescent Medicine)",
    "certifying_board": "American Board of Pediatrics (ABP)",
    "cms_medicare_crosswalk": [
      {
        "medicare_code": "37",
        "medicare_type": "Physician/Pediatric Medicine"
      }
    ]
  }
}