{
  "npi": "1508051293",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_credential": "M.D.",
    "authorized_official_first_name": "RONALD",
    "authorized_official_last_name": "LACY",
    "authorized_official_middle_name": "R",
    "authorized_official_name_prefix": "Dr.",
    "authorized_official_name_suffix": "--",
    "authorized_official_telephone_number": "8063799225",
    "authorized_official_title_or_position": "Medical Director",
    "enumeration_date": "2007-09-06",
    "last_updated": "2015-09-08",
    "organization_name": "ACT PHYSICIAN GROUP, P.A.",
    "organizational_subpart": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "7118 I-40 W",
      "address_2": "SUITE 500",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "AMARILLO",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "806-379-7661",
      "postal_code": "791062503",
      "state": "TX",
      "telephone_number": "806-379-9225"
    },
    {
      "address_1": "3300 I-40 E",
      "address_2": "SUITE 400",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "AMARILLO",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "806-379-7661",
      "postal_code": "791034801",
      "state": "TX",
      "telephone_number": "806-379-9225"
    }
  ],
  "taxonomies": [
    {
      "code": "261QP2300X",
      "desc": "Clinic/Center, Primary Care",
      "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": []
  }
}