{"npi":"1740567643","type":"NPI-1","status":"active","name":{"display":"Mrs. Angela Odom FNP-C","other":[],"first":"ANGELA","last":"ODOM","middle":"MARIE","credential":"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":true,"state":"GA","license":"RN149476"}]},"addresses":[{"purpose":"LOCATION","street_1":"5621 HWY 21 S # NA","city":"RINCON","state":"GA","postal_code":"313269416","country_code":"US","phone":"9124411588","fax":"9122956033"},{"purpose":"MAILING","street_1":"5621 HWY 21 S","city":"RINCON","state":"GA","postal_code":"313269416","country_code":"US","phone":"9122955860","fax":"9122956033"}],"license":{"state":"GA","number":"RN149476"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"137997901C","state":"GA","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20170320000220","type_code":"14-50","type_desc":"PRACTITIONER - NURSE PRACTITIONER","state":"SC","pac_id":"6305077876"},{"enrlmt_id":"I20200806000615","type_code":"14-50","type_desc":"PRACTITIONER - NURSE PRACTITIONER","state":"GA","pac_id":"6305077876"}]},"enumeration_date":"2011-11-07","last_updated":"2020-02-03","_meta":{"source":"NPPES","snapshot_date":"2020-02-03","doc_url":"https://findmynpi.com/api"}}