{
  "npi": "1992292973",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_first_name": "WOODLEY",
    "authorized_official_last_name": "MARDY-DAVIS",
    "authorized_official_middle_name": "BERNADETTE",
    "authorized_official_name_prefix": "Dr.",
    "authorized_official_telephone_number": "4702991998",
    "authorized_official_title_or_position": "Medical Director",
    "certification_date": "2026-05-18",
    "enumeration_date": "2018-04-16",
    "last_updated": "2026-05-18",
    "organization_name": "ADVANCED SPINE & PAIN INTERVENTIONS LLC - JASPER",
    "organizational_subpart": "YES",
    "parent_organization_legal_business_name": "ADVANCED SPINE & PAIN INTERVENTIONS LLC",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "12389 CRABAPPLE RD",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "ALPHARETTA",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "470-299-1898",
      "postal_code": "300046328",
      "state": "GA",
      "telephone_number": "470-299-1998"
    },
    {
      "address_1": "49 GORDON RD",
      "address_2": "SUITE 102",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "JASPER",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "470-299-1898",
      "postal_code": "301431017",
      "state": "GA",
      "telephone_number": "470-299-1998"
    }
  ],
  "taxonomies": [
    {
      "code": "207LA0401X",
      "desc": "Anesthesiology, Addiction Medicine",
      "license": "059463",
      "primary": false,
      "state": "GA",
      "taxonomy_group": "193200000X - Multi-Specialty Group"
    },
    {
      "code": "208VP0014X",
      "desc": "Pain Medicine, Interventional Pain Medicine",
      "license": "059463",
      "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 Allopathic & Osteopathic Physicians — Pain Medicine, Interventional Pain Medicine",
    "certifying_board": "State Medical / Healthcare Licensing Board & National Specialty Board",
    "cms_medicare_crosswalk": [
      {
        "medicare_code": "09",
        "medicare_type": "Physician/Interventional Pain Management"
      }
    ]
  }
}