{
  "npi": "1972216554",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_credential": "PA-C",
    "authorized_official_first_name": "PHIL",
    "authorized_official_last_name": "JOHNS",
    "authorized_official_middle_name": "ORB",
    "authorized_official_name_prefix": "Mr.",
    "authorized_official_name_suffix": "Jr.",
    "authorized_official_telephone_number": "5409062739",
    "authorized_official_title_or_position": "Co-Owner",
    "certification_date": "2024-02-17",
    "enumeration_date": "2022-12-28",
    "last_updated": "2024-02-17",
    "organization_name": "APEX PSYCHIATRY, PLLC",
    "organizational_subpart": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "2206 PATTERSON AVE SW",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "ROANOKE",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "540-515-2739",
      "postal_code": "240162524",
      "state": "VA",
      "telephone_number": "540-906-2739"
    },
    {
      "address_1": "16930 W CATAWBA AVE STE 200",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "CORNELIUS",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "540-515-2739",
      "postal_code": "280315639",
      "state": "NC",
      "telephone_number": "540-906-2739"
    }
  ],
  "taxonomies": [
    {
      "code": "2084P0800X",
      "desc": "Psychiatry & Neurology, Psychiatry",
      "license": null,
      "primary": true,
      "state": null,
      "taxonomy_group": "193400000X - Single 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 Psychiatrist (Mental Health & Behavioral Medicine Physician)",
    "certifying_board": "American Board of Psychiatry and Neurology (ABPN)",
    "cms_medicare_crosswalk": [
      {
        "medicare_code": "26",
        "medicare_type": "Physician/Psychiatry"
      },
      {
        "medicare_code": "86",
        "medicare_type": "Physician/Neuropsychiatry"
      }
    ]
  }
}