Organization Active NPI

Axion Spine Outpatient Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Alpharetta, GA
National Provider Identifier
1366181778
Registry record updated Aug 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
AXION SPINE OUTPATIENT SURGERY CENTER
Practice address
4100 Old Milton Pkwy
Alpharetta, GA 30005-4442
Phone
(470) 579-3962
Fax
(470) 579-3961
NPI assigned
Jun 2, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2022

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

Authorized official

Name
Mrs. Emily Joy Taylor
Title
Coo
Phone
(470) 579-3962

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

4100 Old Milton Pkwy
Alpharetta, GA 30005-4442

Mailing address

PO Box 2839
Dallas, GA 30132-0048
Phone (470) 579-3962

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D2274487Axion Spine Outpatient Surgery Center4100 Old Milton Parkway, Suite 100, Alpharetta, GA 30005Certificate of waiverJan 4, 2027

National Provider Directory

National Provider Directory

Locations

4165 Old Milton Pkwy
#170W
Alpharetta, GA 30005

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1654128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660521600000",
    "number": "1366181778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2839",
            "city": "DALLAS",
            "state": "GA",
            "postal_code": "301320048",
            "telephone_number": "470-579-3962",
            "fax_number": "470-579-3961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 OLD MILTON PKWY",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300054442",
            "telephone_number": "470-579-3962",
            "fax_number": "470-579-3961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AXION SPINE OUTPATIENT SURGERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-02",
        "last_updated": "2022-08-15",
        "certification_date": "2022-08-15",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "EMILY",
        "authorized_official_middle_name": "JOY",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "470-579-3962",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpharetta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.