{"result_count":1,"results":[{"addresses":[{"address_1":"216 GLENDALE AVE","address_purpose":"MAILING","address_type":"DOM","city":"DECATUR","country_code":"US","country_name":"United States","fax_number":"404-566-5046","postal_code":"300301918","state":"GA","telephone_number":"404-566-5056"},{"address_1":"150 E PONCE DE LEON AVE STE 150","address_purpose":"LOCATION","address_type":"DOM","city":"DECATUR","country_code":"US","country_name":"United States","fax_number":"404-566-5046","postal_code":"300302566","state":"GA","telephone_number":"404-566-5056"}],"basic":{"authorized_official_credential":"MD","authorized_official_first_name":"KELLI","authorized_official_last_name":"BAENDER","authorized_official_middle_name":"INGRAM","authorized_official_name_prefix":"Dr.","authorized_official_telephone_number":"4045665056","authorized_official_title_or_position":"Founder and Medical Director","certification_date":"2026-06-08","enumeration_date":"2025-12-15","last_updated":"2026-06-08","organization_name":"DECATUR DERMATOLOGY & AESTHETICS LLC","organizational_subpart":"NO","status":"A"},"created_epoch":"1765811402000","endpoints":[],"enumeration_type":"NPI-2","identifiers":[],"last_updated_epoch":"1780917137000","number":"1972467744","other_names":[{"code":"5","organization_name":"DECATUR DERMATOLOGY","type":"Other Name"},{"code":"5","organization_name":"DECATUR DERMATOLOGY & AESTHETICS, LLC","type":"Other Name"},{"code":"3","organization_name":"DECATUR DERMATOLOGY & AESTHETICS","type":"Doing Business As"}],"practiceLocations":[],"taxonomies":[{"code":"207N00000X","desc":"Dermatology","license":null,"primary":true,"state":null,"taxonomy_group":"193400000X - Single Specialty Group"}]}]}