{
"Npi": {
"NPI": "1982634572",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "GWINNETT HOSPITAL SYSTEM, INC.",
"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": "PO BOX 1190",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "LAWRENCEVILLE",
"MailingAddressStateName": "GA",
"MailingAddressPostalCode": "30046-1190",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "678-442-5622",
"MailingAddressFaxNumber": "770-339-3459",
"FirstLinePracticeLocationAddress": "250 SCENIC HWY",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "LAWRENCEVILLE",
"PracticeLocationAddressStateName": "GA",
"PracticeLocationAddressPostalCode": "30045-5675",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "678-442-5622",
"PracticeLocationAddressFaxNumber": "770-339-3459",
"EnumerationDate": "07/03/2006",
"LastUpdateDate": "07/26/2007",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "MCBRIDE",
"AuthorizedOfficialFirstName": "THOMAS",
"AuthorizedOfficialMiddleName": "Y",
"AuthorizedOfficialTitle": "SR. VP., CHIEF FINANCIAL OFFICER",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": "III",
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "678-442-4308",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "273R00000X",
"TaxonomyName": "Psychiatric Hospital Unit",
"LicenseNumber": "067-460",
"LicenseNumberStateCode": "GA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}