NPIMap

Organization Active NPI

Axis Multispecialty Group PLLC

  • Specialist
  • Gainesville, FL
National Provider Identifier
1033099775
Registry record updated Nov 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
AXIS MULTISPECIALTY GROUP PLLC
Practice address
817 NW 56TH Ter Ste B
Gainesville, FL 32605-6401
Phone
(352) 234-3050
Fax
(702) 977-1496
NPI assigned
Sep 4, 2025
Last updated
Nov 10, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kayla Shanks
Title
Credentialing Specialist
Phone
(725) 235-7239

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X Primary
MOHS-Micrographic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207ND0101X
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208G00000X

Addresses

Primary practice location

817 NW 56TH Ter Ste B
Gainesville, FL 32605-6401

Mailing address

817 NW 56TH Ter Ste B
Gainesville, FL 32605-6401
Phone (352) 234-3050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251013000236 FL Part B Supplier - Clinic/Group Practice 6709373020 Receives reassigned benefits from 42 practitioners

National Provider Directory

National Provider Directory

Locations

8985 S Suncoast Blvd
Homosassa, FL 34446
Phone (352) 697-0705

5725 Spring Park Rd
Jacksonville, FL 32216
Phone (904) 302-6160

3325 W Jerwayne Ln
Lecanto, FL 34461
Phone (352) 746-4434

3967 W Norvell Bryant Hwy
Lecanto, FL 34461
Phone (352) 835-0819

2700 SW 34th St
Ocala, FL 34474
Phone (352) 854-6262

1730 Mayo Dr
Tavares, FL 32778
Phone (352) 525-3001

7371 Cortez Oaks Blvd
Weeki Wachee, FL 34613
Phone (352) 657-1882

Practitioners & affiliated clinicians

Practitioners 43

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 43

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1756944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762732800000",
    "number": "1033099775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "817 NW 56TH TER STE B",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326056401",
            "telephone_number": "352-234-3050",
            "fax_number": "702-977-1496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "817 NW 56TH TER STE B",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326056401",
            "telephone_number": "352-234-3050",
            "fax_number": "702-977-1496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AXIS MULTISPECIALTY GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-04",
        "last_updated": "2025-11-10",
        "certification_date": "2025-11-10",
        "status": "A",
        "authorized_official_last_name": "SHANKS",
        "authorized_official_first_name": "KAYLA",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "725-235-7239"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.