{
  "npi": "1578766671",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_credential": "R.N.",
    "authorized_official_first_name": "NAN",
    "authorized_official_last_name": "ANDERSON",
    "authorized_official_middle_name": "H.",
    "authorized_official_name_prefix": "--",
    "authorized_official_name_suffix": "--",
    "authorized_official_telephone_number": "4789344763",
    "authorized_official_title_or_position": "Office Manager",
    "enumeration_date": "2007-06-06",
    "last_updated": "2025-09-11",
    "organization_name": "DR. RICHARD C. ANDERSON",
    "organizational_subpart": "NO",
    "status": "A"
  },
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    {
      "address_1": "PO BOX 494",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "COCHRAN",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "478-934-8080",
      "postal_code": "310140494",
      "state": "GA",
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    },
    {
      "address_1": "PO BOX 494",
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      "country_code": "US",
      "country_name": "United States",
      "fax_number": "478-934-8080",
      "postal_code": "310140494",
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      "telephone_number": "478-934-4763"
    }
  ],
  "taxonomies": [
    {
      "code": "1223G0001X",
      "desc": "Dentist, General Practice",
      "license": "9790",
      "primary": false,
      "state": "GA",
      "taxonomy_group": "193200000X - Multi-Specialty Group"
    },
    {
      "code": "363LA2200X",
      "desc": "Nurse Practitioner, Adult Health",
      "license": "RN126365 NP",
      "primary": false,
      "state": "GA",
      "taxonomy_group": "193200000X - Multi-Specialty Group"
    },
    {
      "code": "364S00000X",
      "desc": "Clinical Nurse Specialist",
      "license": "RN052713",
      "primary": true,
      "state": "GA",
      "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": "Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Clinical Nurse Specialist",
    "certifying_board": "State Medical / Healthcare Licensing Board & National Specialty Board",
    "cms_medicare_crosswalk": [
      {
        "medicare_code": "89",
        "medicare_type": "Certified Clinical Nurse Specialist"
      }
    ]
  }
}