{
  "npi": "1891678876",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_first_name": "LEEA",
    "authorized_official_last_name": "WALTON",
    "authorized_official_middle_name": "JEANINE",
    "authorized_official_telephone_number": "7043166081",
    "authorized_official_title_or_position": "RCS Manager",
    "certification_date": "2026-05-19",
    "enumeration_date": "2025-07-28",
    "last_updated": "2026-05-19",
    "organization_name": "HILTON HEAD REGIONAL PHYSICIAN GROUP LLC",
    "organizational_subpart": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "PO BOX 604411",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "CHARLOTTE",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "282604411",
      "state": "NC"
    },
    {
      "address_1": "408 JACKSON AVE E STE E",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "HAMPTON",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "843-681-9169",
      "postal_code": "299243602",
      "state": "SC",
      "telephone_number": "843-682-7480"
    }
  ],
  "taxonomies": [
    {
      "code": "207XX0005X",
      "desc": "Orthopaedic Surgery, Sports Medicine",
      "license": null,
      "primary": false,
      "state": null,
      "taxonomy_group": "193200000X - Multi-Specialty Group"
    },
    {
      "code": "207X00000X",
      "desc": "Orthopaedic Surgery",
      "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 Orthopedic Surgeon (Bone, Joint, Spine & Sports Injury Surgeon)",
    "certifying_board": "American Board of Orthopaedic Surgery (ABOS)",
    "cms_medicare_crosswalk": [
      {
        "medicare_code": "02",
        "medicare_type": "Physician/General Surgery"
      },
      {
        "medicare_code": "20",
        "medicare_type": "Physician/Orthopedic Surgery"
      }
    ]
  }
}