{"npi":"1245580414","type":"NPI-1","status":"active","name":{"display":"Angela Adams FNP-C","other":[],"first":"ANGELA","last":"ADAMS","middle":"D","credential":"FNP-C"},"specialty":{"primary_taxonomy":"363LF0000X","primary_taxonomy_description":"Family Nurse Practitioner","slug":"family-nurse-practitioner","schema_org_specialty":null,"all":[{"code":"174400000X","description":"Specialist","primary":false,"state":"GA","license":"RN158173"},{"code":"363L00000X","description":"Nurse Practitioner","primary":false,"state":"GA","license":"RN158173"},{"code":"363LF0000X","description":"Family Nurse Practitioner","primary":true,"state":"GA","license":"RN158173"}]},"addresses":[{"purpose":"LOCATION","street_1":"120 E CARTER AVE","city":"BLACKSHEAR","state":"GA","postal_code":"315161561","country_code":"US","phone":"9124494426","fax":"9124491059"},{"purpose":"MAILING","street_1":"705 WELLS RD STE 300","city":"ORANGE PARK","state":"FL","postal_code":"320732982","country_code":"US","phone":"9046210671"}],"license":{"state":"GA","number":"RN158173"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"300027669B","state":"GA","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20130708000601","type_code":"14-50","type_desc":"PRACTITIONER - NURSE PRACTITIONER","state":"GA","pac_id":"7911147301"}]},"enumeration_date":"2012-09-14","last_updated":"2024-08-07","_meta":{"source":"NPPES","snapshot_date":"2024-08-07","doc_url":"https://findmynpi.com/api"}}