Organization Active NPI

Axis Healthcare Group, PC

  • Psychiatry Physician
  • Silver Spring, MD
National Provider Identifier
1609362813
Registry record updated Jan 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
AXIS HEALTHCARE GROUP, PC
Practice address
8040 Georgia Ave Ste 170
Silver Spring, MD 20910-4959
Phone
(202) 360-4787
NPI assigned
Jul 11, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2024

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

Authorized official

Name
Jude AlexanderNPI 1093706939
Title
President
Phone
(202) 360-4787

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

8040 Georgia Ave Ste 170
Silver Spring, MD 20910-4959

Mailing address

8040 Georgia Ave Ste 170
Silver Spring, MD 20910-4959
Phone (202) 360-4787

Other practice location 1

1117 E West Hwy
Silver Spring, MD 20910-4852
Phone (202) 360-4787

National Provider Directory

National Provider Directory
Tax ID family
Axis Healthcare Group PC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

10400 Connecticut Ave
Ste 500
Kensington, MD 20895
Phone (202) 363-2575

Practitioners & affiliated clinicians

Practitioners 1

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": "1531267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704931200000",
    "number": "1609362813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8040 GEORGIA AVE STE 170",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209104959",
            "telephone_number": "202-360-4787",
            "fax_number": "202-360-4787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8040 GEORGIA AVE STE 170",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209104959",
            "telephone_number": "202-360-4787"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1117 E West Hwy",
            "address_purpose": "LOCATION",
            "city": "Silver Spring",
            "state": "MD",
            "postal_code": "209104852",
            "country_code": "US",
            "telephone_number": "202-360-4787",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "AXIS HEALTHCARE GROUP, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-11",
        "last_updated": "2024-01-11",
        "certification_date": "2024-01-11",
        "status": "A",
        "authorized_official_last_name": "ALEXANDER",
        "authorized_official_first_name": "JUDE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "202-360-4787"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2024; 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.