Organization Active NPI

Axion Spine & Neurosurgery, PC

  • Neurological Surgery Physician
  • Alpharetta, GA
National Provider Identifier
1447923560
Registry record updated Apr 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
Legal business name
AXION SPINE & NEUROSURGERY, PC
Practice address
4100 Old Milton Pkwy Ste 101
Alpharetta, GA 30005-4442
Phone
(470) 579-3962
Fax
(770) 443-5876
NPI assigned
Jul 26, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2023

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

Authorized official

Name
Ms. Emily Joy Taylor
Title
Chief Operations Officer
Phone
(470) 579-3962

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207T00000X Primary

Addresses

Primary practice location

4100 Old Milton Pkwy Ste 101
Alpharetta, GA 30005-4442

Mailing address

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

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220711001006 GA Part B Supplier - Clinic/Group Practice 3274913017 Receives reassigned benefits from 1 practitioner
Practice locations: Alpharetta, GA

National Provider Directory

National Provider Directory

Locations

4100 Old Milton Pkwy
#101
Alpharetta, GA 30005

4100 Old Milton Pkwy
Alpharetta, GA 30005
Phone (470) 579-3962

1903 Phoenix Blvd
Ste 130
Atlanta, GA 30349

1903 Phoenix Blvd
Ste 150
College Park, GA 30349
Phone (404) 777-1127

Practitioners & affiliated clinicians

Practitioners 5

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": "1627257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682467200000",
    "number": "1447923560",
    "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 STE 101",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300054442",
            "telephone_number": "470-579-3962",
            "fax_number": "770-443-5876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AXION SPINE & NEUROSURGERY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-26",
        "last_updated": "2023-04-26",
        "certification_date": "2023-04-26",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "EMILY",
        "authorized_official_middle_name": "JOY",
        "authorized_official_title_or_position": "CHIEF OPERATIONS OFFICER",
        "authorized_official_telephone_number": "470-579-3962",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "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 Apr 26, 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.