Axon Medical Group PC

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

Legal business name

AXON MEDICAL GROUP PC

Practice address

3824 Barrett Dr Ste 101
Raleigh, NC 27609-7220

Phone

(919) 275-0785

NPI assigned

Oct 8, 2025

Organization subpart

Yes

Parent organization

AXON MEDICAL GROUP PCAs reported in NPPES

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

Authorized official

Name

Sumul Modi, MDNPI 1033466776

Title

Owner

Phone

(919) 275-0785

Specialties & licenses 1

Addresses

Other names 1

• Aura AI Headache Clinic Doing business as

Tax ID family

Axon Medical Group PC2 organizations share this tax ID, including this one

Part of

Axon Medical Group PC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Axon Medical Group PC

  • Radiology Clinic/Center
  • Raleigh, NC
  • NPI 1750256855
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sumul Modi, M.D.

  • Neurology Physician
  • Charlotte, NC
  • NPI 1033466776
  NPD Authorized official

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

{
    "created_epoch": "1759881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759881600000",
    "number": "1164397253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3824 BARRETT DR STE 101",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276097220",
            "telephone_number": "919-275-0785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3824 BARRETT DR STE 101",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276097220",
            "telephone_number": "919-275-0785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AXON MEDICAL GROUP PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AXON MEDICAL GROUP PC",
        "enumeration_date": "2025-10-08",
        "last_updated": "2025-10-08",
        "certification_date": "2025-10-08",
        "status": "A",
        "authorized_official_last_name": "MODI",
        "authorized_official_first_name": "SUMUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-275-0785",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aura AI Headache Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Johanne Aviles-Gomez, RN
• Erica Avramis
• Awakenings Counseling
• Awesome Care Evolutions Care Solutions
• Oriyomi Awosanya
• Axon Medical Group PC
• Axpress Medical Supply Inc
• Andrea Celeste Ayala
• Mercedes Aybar-Diaz, DDS
• Christy Anne Aycock, MS, CCC-SLP

• Neurology Physician in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Neurology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.