{
  "npi": "1174516330",
  "enumeration_type": "NPI-1",
  "basic": {
    "certification_date": "2021-01-29",
    "credential": "MD",
    "enumeration_date": "2005-08-23",
    "first_name": "MARC",
    "last_name": "COAN",
    "last_updated": "2021-01-29",
    "middle_name": "S",
    "sex": "M",
    "sole_proprietor": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "58 BIG A ROAD",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "TOCCOA",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "706-282-5368",
      "postal_code": "305776017",
      "state": "GA",
      "telephone_number": "706-886-6819"
    },
    {
      "address_1": "PO BOX 742616",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "ATLANTA",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "303742616",
      "state": "GA",
      "telephone_number": "770-219-8420"
    }
  ],
  "taxonomies": [
    {
      "code": "207R00000X",
      "desc": "Internal Medicine",
      "license": "33295",
      "primary": true,
      "state": "GA",
      "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": "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"
      }
    ]
  }
}