{
  "npi": "1952801334",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_first_name": "SYDNI",
    "authorized_official_last_name": "CLEMMONS",
    "authorized_official_telephone_number": "9013511791",
    "authorized_official_title_or_position": "Credentialing Manager",
    "certification_date": "2021-07-15",
    "enumeration_date": "2018-02-13",
    "last_updated": "2021-07-15",
    "organization_name": "FAST PACE MEDICAL CLINIC PLLC",
    "organizational_subpart": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "4152 W STATE ROAD 56",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "HANOVER",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "472439070",
      "state": "IN",
      "telephone_number": "812-762-4510"
    },
    {
      "address_1": "PO BOX 1258",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "WAYNESBORO",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "931-722-9919",
      "postal_code": "384851258",
      "state": "TN",
      "telephone_number": "931-253-1110"
    }
  ],
  "taxonomies": [
    {
      "code": "174400000X",
      "desc": "Specialist",
      "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 Pediatrician (Infant, Child & Adolescent Medicine)",
    "certifying_board": "American Board of Pediatrics (ABP)",
    "cms_medicare_crosswalk": []
  }
}