{
"Npi": {
"NPI": "1760940761",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "ZAWADZKI",
"FirstName": "CASEY",
"MiddleName": "BRIANNA",
"NamePrefix": null,
"NameSuffix": null,
"Credential": "NP",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "GRIFFIN",
"OtherFirstName": "CASEY",
"OtherMiddleName": "BRIANNA",
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "1109 BURLEYSON RD STE 202",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "DALTON",
"MailingAddressStateName": "GA",
"MailingAddressPostalCode": "30720-3094",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "706-272-6596",
"MailingAddressFaxNumber": "706-370-7715",
"FirstLinePracticeLocationAddress": "1109 BURLEYSON RD STE 202",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "DALTON",
"PracticeLocationAddressStateName": "GA",
"PracticeLocationAddressPostalCode": "30720-3094",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "706-272-6596",
"PracticeLocationAddressFaxNumber": "706-370-7715",
"EnumerationDate": "03/08/2019",
"LastUpdateDate": "11/04/2025",
"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": "363L00000X",
"TaxonomyName": "Nurse Practitioner",
"LicenseNumber": "APRN-NP257763",
"LicenseNumberStateCode": "GA",
"PrimaryTaxonomySwitch": "Y"
},
{
"TaxonomyCode": "363L00000X",
"TaxonomyName": "Nurse Practitioner",
"LicenseNumber": "28388",
"LicenseNumberStateCode": "TN",
"PrimaryTaxonomySwitch": "N"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}