{
"Npi": {
"NPI": "1053733279",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "H & M HEALTH GROUP LLC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": "6",
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "7160 MOON RD",
"SecondLineMailingAddress": "SUITE G",
"MailingAddressCityName": "COLUMBUS",
"MailingAddressStateName": "GA",
"MailingAddressPostalCode": "31909-1753",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "731-445-1163",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "7160 MOON RD",
"SecondLinePracticeLocationAddress": "SUITE G",
"PracticeLocationAddressCityName": "COLUMBUS",
"PracticeLocationAddressStateName": "GA",
"PracticeLocationAddressPostalCode": "31909-1753",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "731-445-1163",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "01/07/2014",
"LastUpdateDate": "01/07/2014",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "MILES",
"AuthorizedOfficialFirstName": "SAMUEL",
"AuthorizedOfficialMiddleName": "F",
"AuthorizedOfficialTitle": "CO-OWNER / CHIROPRACTOR",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "D.C.",
"AuthorizedOfficialTelephoneNumber": "731-445-1163",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "111N00000X",
"TaxonomyName": "Chiropractor",
"LicenseNumber": "CHIR009182",
"LicenseNumberStateCode": "GA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
"HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
}
}
}
}