{"npi":"1174579254","type":"NPI-1","status":"active","name":{"display":"Antoinette Bannister M.D.","other":[{"code":"2","type":"Professional name","value":"BANNISTER, ANTOINETTE"}],"first":"ANTOINETTE","last":"BANNISTER","middle":"MARIE","credential":"M.D."},"specialty":{"primary_taxonomy":"208000000X","primary_taxonomy_description":"Pediatrics","slug":"pediatrics","schema_org_specialty":"Pediatric","all":[{"code":"208000000X","description":"Pediatrics","primary":true,"state":"SC","license":"36764"}]},"addresses":[{"purpose":"LOCATION","street_1":"450 OLD GREENVILLE HWY","city":"CLEMSON","state":"SC","postal_code":"296311670","country_code":"US","phone":"8646538964"},{"purpose":"MAILING","street_1":"300 E MCBEE AVE FL 4","city":"GREENVILLE","state":"SC","postal_code":"296012842","country_code":"US","phone":"8645228611"}],"license":{"state":"SC","number":"36764"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"367640","state":"SC","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20160711000270","type_code":"14-37","type_desc":"PRACTITIONER - PEDIATRIC MEDICINE","state":"SC","pac_id":"1355417981"}]},"enumeration_date":"2006-05-26","last_updated":"2025-01-28","_meta":{"source":"NPPES","snapshot_date":"2025-01-28","doc_url":"https://findmynpi.com/api"}}