{
  "npi": "1093018095",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_credential": "D.O.",
    "authorized_official_first_name": "JEFFREY",
    "authorized_official_last_name": "SEVERA",
    "authorized_official_middle_name": "F.",
    "authorized_official_name_prefix": "--",
    "authorized_official_name_suffix": "--",
    "authorized_official_telephone_number": "2523394525",
    "authorized_official_title_or_position": "Owner/Manager",
    "enumeration_date": "2010-12-13",
    "last_updated": "2010-12-13",
    "organization_name": "CAROLINA MEDICAL & MANAGEMENT CONSULTANTS, PLLC",
    "organizational_subpart": "NO",
    "status": "A"
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    {
      "address_1": "PO BOX 697",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "EDENTON",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "888-379-3488",
      "postal_code": "279320697",
      "state": "NC",
      "telephone_number": "252-339-4525"
    },
    {
      "address_1": "229 BAY POINT DR",
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      "city": "EDENTON",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "888-379-3488",
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      "state": "NC",
      "telephone_number": "252-339-4525"
    }
  ],
  "taxonomies": [
    {
      "code": "207R00000X",
      "desc": "Internal Medicine",
      "license": "NC200400743",
      "primary": true,
      "state": "PA",
      "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 Internist (Adult Diagnostic & Chronic Disease Physician)",
    "certifying_board": "American Board of Internal Medicine (ABIM)",
    "cms_medicare_crosswalk": [
      {
        "medicare_code": "11",
        "medicare_type": "Physician/Internal Medicine"
      }
    ]
  }
}