{"npi":"1043962541","type":"NPI-1","status":"active","name":{"display":"Mr. Charles Carroll NP","other":[],"first":"CHARLES","last":"CARROLL","middle":"WAYNE","credential":"NP"},"specialty":{"primary_taxonomy":"363LF0000X","primary_taxonomy_description":"Family Nurse Practitioner","slug":"family-nurse-practitioner","schema_org_specialty":null,"all":[{"code":"363LF0000X","description":"Family Nurse Practitioner","primary":true,"state":"TN","license":"30647"}]},"addresses":[{"purpose":"LOCATION","street_1":"405 SCENIC DR STE A","city":"ROGERSVILLE","state":"TN","postal_code":"378572441","country_code":"US","phone":"4239213490"},{"purpose":"MAILING","street_1":"1021 W OAKLAND AVE STE 310","city":"JOHNSON CITY","state":"TN","postal_code":"376042192","country_code":"US","phone":"4239522111","fax":"4232821657"}],"license":{"state":"TN","number":"30647"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20220209002123","type_code":"14-50","type_desc":"PRACTITIONER - NURSE PRACTITIONER","state":"TN","pac_id":"5597158808"}]},"enumeration_date":"2022-01-25","last_updated":"2025-02-22","_meta":{"source":"NPPES","snapshot_date":"2025-02-22","doc_url":"https://findmynpi.com/api"}}