{"npi":"1164088977","type":"NPI-1","status":"active","name":{"display":"Amanda Tison APRN, FNP-C","other":[{"code":"1","type":"Formerly known as","value":"THOMPSON, AMANDA FAYE"}],"first":"AMANDA","last":"TISON","middle":"FAYE","credential":"APRN, FNP-C"},"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":false,"state":"FL","license":"11002465"},{"code":"363LF0000X","description":"Family Nurse Practitioner","primary":true,"state":"GA","license":"GAA-NP000337"}]},"addresses":[{"purpose":"LOCATION","street_1":"4837 BILL GARDNER PKWY STE B","city":"LOCUST GROVE","state":"GA","postal_code":"302483734","country_code":"US","phone":"6788001602"},{"purpose":"MAILING","street_1":"72 BOLINGVIEW RD","city":"JULIETTE","state":"GA","postal_code":"310463932","country_code":"US","phone":"9045071221"}],"license":{"state":"GA","number":"GAA-NP000337"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20211201000884","type_code":"14-50","type_desc":"PRACTITIONER - NURSE PRACTITIONER","state":"GA","pac_id":"6103151147"}]},"enumeration_date":"2019-05-16","last_updated":"2021-12-02","_meta":{"source":"NPPES","snapshot_date":"2021-12-02","doc_url":"https://findmynpi.com/api"}}