{"npi":"1144285289","type":"NPI-1","status":"active","name":{"display":"Mr. Anthony Tillman PA","other":[],"first":"ANTHONY","last":"TILLMAN","middle":"L","credential":"PA"},"specialty":{"primary_taxonomy":"363A00000X","primary_taxonomy_description":"Physician Assistant","slug":"physician-assistant","schema_org_specialty":null,"all":[{"code":"363A00000X","description":"Physician Assistant","primary":true,"state":"TN","license":"PA0000000828"},{"code":"363AS0400X","description":"Surgical Physician Assistant","primary":false,"state":"TN","license":"PA0828"}]},"addresses":[{"purpose":"LOCATION","street_1":"425 BMH PHYSICIANS OFFICE BLDG","city":"MARYVILLE","state":"TN","postal_code":"378045807","country_code":"US","phone":"8659805260","fax":"8659805261"},{"purpose":"MAILING","street_1":"300 E MCBEE AVE FL 4","city":"GREENVILLE","state":"SC","postal_code":"296012842","country_code":"US"}],"license":{"state":"TN","number":"PA0000000828"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"1530290","state":"TN","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20060609000233","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"TN","pac_id":"5991717993"}]},"enumeration_date":"2006-04-20","last_updated":"2025-11-03","_meta":{"source":"NPPES","snapshot_date":"2025-11-03","doc_url":"https://findmynpi.com/api"}}