{
"Npi": {
"NPI": "1821760026",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "Y",
"ParentOrgLBN": "JONES FAMILY MEDICINE CLINIC, PLLC",
"ParentOrgTIN": null,
"OrgName": "JONES FAMILY MEDICINE CLINIC, PLLC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "30 CIRCLE J DR STE 1",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "LAUREL",
"MailingAddressStateName": "MS",
"MailingAddressPostalCode": "39440-1981",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "601-425-0092",
"MailingAddressFaxNumber": "601-425-0473",
"FirstLinePracticeLocationAddress": "111 MAIN ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "QUITMAN",
"PracticeLocationAddressStateName": "MS",
"PracticeLocationAddressPostalCode": "39355-2119",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "601-425-0092",
"PracticeLocationAddressFaxNumber": "601-425-0473",
"EnumerationDate": "10/05/2021",
"LastUpdateDate": "10/05/2021",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "JONES",
"AuthorizedOfficialFirstName": "KAYE",
"AuthorizedOfficialMiddleName": "D",
"AuthorizedOfficialTitle": "MANAGER",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "601-425-0092",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QP2300X",
"TaxonomyName": "Primary Care Clinic/Center",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}