Axon

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

Legal business name

AXON

Practice address

1860 Chadwick Dr Ste 258
Ste 258
Jackson, MS 39204-3486

Phone

(601) 376-2004

NPI assigned

Oct 18, 2006

Last updated

Nov 2, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Patrick Weldon, MDNPI 1003907460

Title

Owner

Phone

(601) 376-2004

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Locations

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.

• Patrick E Weldon, M.D.

  • Neurology Physician
  • Jackson, MS
  • NPI 1003907460
  Medicare reassignment NPD Authorized official
• Ragen Layne Rawson, FNP-C

  • Family Nurse Practitioner
  • Jackson, MS
  • NPI 1710472758
  NPD (past)

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320192000000",
    "number": "1831270560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1860 CHADWICK DR",
            "address_2": "STE 258",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392043463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1860 CHADWICK DR STE 258",
            "address_2": "STE 258",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392043486",
            "telephone_number": "601-376-2004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AXON",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2011-11-02",
        "status": "A",
        "authorized_official_last_name": "WELDON",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-376-2004",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "DE7025",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Avis Caring Hands Home Service
• Avita Drugs Mississippi, LLC (Avita Pharmacy)
• Ramachandram Avusula
• Henna Awan
• Abigail Mallah Awode
• Muhammad Ahmed Ayaz, MBBS
• Ayb Tech
• Monica Alford Aycock, CNNP
• Claudia Ayoub, DO
• Azniv Azar, M.D.

• Neurological Surgery Physician in Jackson, MS
• Providers in Jackson, MS by specialty
• Neurological Surgery Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2011; 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.