{"npi":"1255537239","type":"NPI-1","status":"active","name":{"display":"Dr. Ethan Tolbert M.D.","other":[],"first":"ETHAN","last":"TOLBERT","middle":"WADE","credential":"M.D."},"specialty":{"primary_taxonomy":"207RH0003X","primary_taxonomy_description":"Hematology & Oncology","slug":"hematology-oncology","schema_org_specialty":"Oncologic","all":[{"code":"207RH0003X","description":"Hematology & Oncology","primary":true,"state":"GA","license":"46265"}]},"addresses":[{"purpose":"LOCATION","street_1":"550 PEACHTREE ST NE","city":"ATLANTA","state":"GA","postal_code":"303082247","country_code":"US","street_2":"SUITE 1185","phone":"4042230792","fax":"4042235815"},{"purpose":"MAILING","street_1":"1835 SAVOY DR","city":"ATLANTA","state":"GA","postal_code":"303411072","country_code":"US","street_2":"SUITE 300","phone":"4042230792","fax":"4042235815"}],"license":{"state":"GA","number":"46265"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"463493784D","state":"GA","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20090114000413","type_code":"14-83","type_desc":"PRACTITIONER - HEMATOLOGY/ONCOLOGY","state":"GA","pac_id":"4284797465"}]},"enumeration_date":"2007-06-26","last_updated":"2020-08-18","_meta":{"source":"NPPES","snapshot_date":"2020-08-18","doc_url":"https://findmynpi.com/api"}}