{"npi":"1245635291","type":"NPI-1","status":"active","name":{"display":"Mrs. Amanda Gray PA-C","other":[{"code":"1","type":"Formerly known as","value":"MALONE, AMANDA NICOLE"}],"first":"AMANDA","last":"GRAY","middle":"MALONE","credential":"PA-C"},"specialty":{"primary_taxonomy":"363A00000X","primary_taxonomy_description":"Physician Assistant","slug":"physician-assistant","schema_org_specialty":null,"all":[{"code":"363AS0400X","description":"Surgical Physician Assistant","primary":false,"state":"TN","license":"2676"},{"code":"363AS0400X","description":"Surgical Physician Assistant","primary":false,"state":"MS","license":"PA00598"},{"code":"363A00000X","description":"Physician Assistant","primary":true,"state":"TN","license":"2676"}]},"addresses":[{"purpose":"LOCATION","street_1":"1325 WOLF PARK DR STE 102","city":"GERMANTOWN","state":"TN","postal_code":"381381759","country_code":"US","phone":"9012523400","fax":"9017634305"},{"purpose":"MAILING","street_1":"1325 WOLF PARK DR STE 103","city":"GERMANTOWN","state":"TN","postal_code":"381381759","country_code":"US","phone":"9012523400","fax":"9017634305"}],"license":{"state":"TN","number":"2676"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20150323001633","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"TN","pac_id":"1557688009"},{"enrlmt_id":"I20211014000868","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"MS","pac_id":"1557688009"}]},"enumeration_date":"2014-11-01","last_updated":"2024-09-13","_meta":{"source":"NPPES","snapshot_date":"2024-09-13","doc_url":"https://findmynpi.com/api"}}