{
"Npi": {
"NPI": "1578537247",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "WINDY HILL PODIATRY ASSOCIATES, P.C.",
"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": "1975 HIGHWAY 54 W STE 205",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "PEACHTREE CITY",
"MailingAddressStateName": "GA",
"MailingAddressPostalCode": "30269-4794",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "678-902-0457",
"MailingAddressFaxNumber": "770-952-5300",
"FirstLinePracticeLocationAddress": "2520 WINDY HILL RD SE",
"SecondLinePracticeLocationAddress": "SUIT 105",
"PracticeLocationAddressCityName": "MARIETTA",
"PracticeLocationAddressStateName": "GA",
"PracticeLocationAddressPostalCode": "30067-8664",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "770-952-0868",
"PracticeLocationAddressFaxNumber": "770-952-5300",
"EnumerationDate": "02/17/2006",
"LastUpdateDate": "03/06/2020",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "PATEL",
"AuthorizedOfficialFirstName": "KETAN",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "PHYSICAN/OWNER",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "D.P.M.",
"AuthorizedOfficialTelephoneNumber": "678-561-9000",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QA1903X",
"TaxonomyName": "Ambulatory Surgical Clinic/Center",
"LicenseNumber": "033-067",
"LicenseNumberStateCode": "GA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}