Axon Columbus, LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

AXON COLUMBUS, LLC

Doing business as

Axon Health Associates

Practice address

2675 Fox Pointe Dr Ste B
Columbus, IN 47203-3391

Phone

(812) 665-0181

Fax

(812) 605-0183

NPI assigned

Aug 28, 2023

Last updated

Aug 28, 2023By the provider in NPPES

Organization subpart

Yes

Parent organization

AXON HEALTH ASSOCIATES, LLCAs reported in NPPES

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

Authorized official

Name

Jerad Dalton, DONPI 1306835418

Title

Member

Phone

(317) 402-8992

Specialties & licenses 3

Addresses

Other names 1

• Axon Health Associates Doing business as

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Part of

Axon Health Associates LLC

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Axon Health Associates, LLC

  • Psychiatry Physician
  • Indianapolis, IN
  • NPI 1033552310
  NPPES parent name

Practitioners 2

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.

• Jerad Michael Dalton, D.O.

  • Psychiatry Physician
  • Indianapolis, IN
  • NPI 1306835418
  Medicare reassignment NPD Authorized official
• Sarah Elizabeth Megerle, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Indianapolis, IN
  • NPI 1649905894

  Single Specialty

  Medicare reassignment NPD

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

{
    "created_epoch": "1693180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693180800000",
    "number": "1073398186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9245 N MERIDIAN ST STE 300",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462601832",
            "telephone_number": "317-818-9000",
            "fax_number": "317-818-9009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2675 FOX POINTE DR STE B",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "472033391",
            "telephone_number": "812-665-0181",
            "fax_number": "812-605-0183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AXON COLUMBUS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AXON HEALTH ASSOCIATES, LLC",
        "enumeration_date": "2023-08-28",
        "last_updated": "2023-08-28",
        "certification_date": "2023-08-28",
        "status": "A",
        "authorized_official_last_name": "DALTON",
        "authorized_official_first_name": "JERAD",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "317-402-8992",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Axon Health Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Raygan Alexandria Ashmore
• Association of Personal and Family Counselors
• At Ease Psychiatry
• Kaitlin Augustyn
• Jennifer Anne Avila, RN
• Rachel Aziz, DDS
• Sarah Bachman, PHARMD
• Heidi Baez, RBT
• Bailey and Associates Consulting
• Ethan Bailey, PA

• Psychiatry Physician in Columbus, IN
• Providers in Columbus, IN by specialty
• Psychiatry Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2023; 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.