{
  "npi": "1104640564",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_credential": "CPC",
    "authorized_official_first_name": "ANDREA",
    "authorized_official_last_name": "IVORY FULLER",
    "authorized_official_middle_name": "L",
    "authorized_official_telephone_number": "9016733111",
    "authorized_official_title_or_position": "PRESIDENT",
    "certification_date": "2025-01-16",
    "enumeration_date": "2024-11-12",
    "last_updated": "2025-01-16",
    "organization_name": "A1 FAMILY PHYSICIANS",
    "organizational_subpart": "NO",
    "status": "A"
  },
  "taxonomies": [
    {
      "code": "103T00000X",
      "desc": "Psychologist",
      "license": null,
      "primary": false,
      "state": null,
      "taxonomy_group": "193200000X - Multi-Specialty Group"
    },
    {
      "code": "133V00000X",
      "desc": "Dietitian, Registered",
      "license": null,
      "primary": false,
      "state": null,
      "taxonomy_group": "193200000X - Multi-Specialty Group"
    },
    {
      "code": "171400000X",
      "desc": "Health & Wellness Coach",
      "license": null,
      "primary": false,
      "state": null,
      "taxonomy_group": "193200000X - Multi-Specialty Group"
    },
    {
      "code": "207Q00000X",
      "desc": "Family Medicine",
      "license": null,
      "primary": true,
      "state": null,
      "taxonomy_group": "193200000X - Multi-Specialty Group"
    },
    {
      "code": "207RN0300X",
      "desc": "Internal Medicine, Nephrology",
      "license": null,
      "primary": false,
      "state": null,
      "taxonomy_group": "193200000X - Multi-Specialty Group"
    },
    {
      "code": "208000000X",
      "desc": "Pediatrics",
      "license": null,
      "primary": false,
      "state": null,
      "taxonomy_group": "193200000X - Multi-Specialty Group"
    },
    {
      "code": "363A00000X",
      "desc": "Physician Assistant",
      "license": null,
      "primary": false,
      "state": null,
      "taxonomy_group": "193200000X - Multi-Specialty Group"
    },
    {
      "code": "363LF0000X",
      "desc": "Nurse Practitioner, Family",
      "license": null,
      "primary": false,
      "state": null,
      "taxonomy_group": "193200000X - Multi-Specialty Group"
    }
  ],
  "enrichment": {
    "plain_english_specialty": "Board-Certified Family Medicine Physician (All-Ages Primary Care Doctor)",
    "certifying_board": "American Board of Family Medicine (ABFM)",
    "common_medicare_procedures": [
      "Comprehensive Annual Preventive Physical Examination & Cardiometabolic Screening",
      "Outpatient ECG / EKG Interpretation (CPT 93000) & Ambulatory BP Monitoring",
      "Point-of-Care HbA1c, Lipid Panel, Urinalysis & BMI Risk Stratification",
      "Minor Office Procedures: Wound Suturing, Abscess Drainage & Joint Injections",
      "Adult & Pediatric Immunization Administration (Tetanus/Tdap, Influenza, HPV)"
    ],
    "common_part_d_therapeutic_classes": [
      "Metformin, SGLT2 Inhibitors & GLP-1 Receptor Agonists (Type 2 Diabetes)",
      "Lisinopril, Losartan & Amlodipine (First-Line Hypertension Management)",
      "Atorvastatin & Rosuvastatin (Cardiovascular Lipid Optimization)",
      "Nitrofurantoin, Trimethoprim-Sulfamethoxazole & Ciprofloxacin (Outpatient UTIs)"
    ]
  }
}