{
"Npi": {
"NPI": "1407091267",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "UYA",
"FirstName": "JOY",
"MiddleName": "EKPO",
"NamePrefix": "DR.",
"NameSuffix": null,
"Credential": "D.O.",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "EKPO",
"OtherFirstName": "JOY",
"OtherMiddleName": "IFIOK",
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": "D.O.",
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "10945 STATE BRIDGE RD STE 401-191",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "ALPHARETTA",
"MailingAddressStateName": "GA",
"MailingAddressPostalCode": "30022-8164",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "972-813-9372",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "1325 SATELLITE BLVD NW BLDG 1100 STE. 1110",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "SUWANEE",
"PracticeLocationAddressStateName": "GA",
"PracticeLocationAddressPostalCode": "30024",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "470-264-0101",
"PracticeLocationAddressFaxNumber": "470-589-1126",
"EnumerationDate": "12/09/2008",
"LastUpdateDate": "10/08/2024",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "F",
"Gender": "Female",
"AuthorizedOfficialLastName": null,
"AuthorizedOfficialFirstName": null,
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": null,
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": null,
"Taxonomies": {
"Taxonomy": [
{
"TaxonomyCode": "207Q00000X",
"TaxonomyName": "Family Medicine Physician",
"LicenseNumber": "4755",
"LicenseNumberStateCode": "OK",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "207Q00000X",
"TaxonomyName": "Family Medicine Physician",
"LicenseNumber": "P4307",
"LicenseNumberStateCode": "TX",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "390200000X",
"TaxonomyName": "Student in an Organized Health Care Education/Training Program",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "207Q00000X",
"TaxonomyName": "Family Medicine Physician",
"LicenseNumber": "78329",
"LicenseNumberStateCode": "GA",
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}