Axis Prosthetics and Orthotics, Inc

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

AXIS PROSTHETICS AND ORTHOTICS, INC

Practice address

1142 Shipyard Blvd
Wilmington, NC 28412-6439

Phone

(910) 350-0067

Fax

(910) 350-0065

NPI assigned

Mar 9, 2007

Organization subpart

No

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

Authorized official

Name

Jeffrey McDonald, CP BOCPNPI 1740261734

Title

President

Phone

(910) 350-0067

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• Atlantic Prosthetic Services Doing business as

Medicare fee-for-service enrollment

Enrolled in NC

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.

• Jeffrey Layne McDonald, CP

  • Specialist
  • Wilmington, NC
  • NPI 1740261734
  NPD (past) Authorized official
• Robert Edward Collins Jr., C.O.

  • Orthotist
  • Wilmington, NC
  • NPI 1679778591
  NPD (past)

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696982400000",
    "number": "1932230828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1142 SHIPYARD BLVD",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284126439",
            "telephone_number": "910-350-0067",
            "fax_number": "910-350-0065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1142 SHIPYARD BLVD",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284126439",
            "telephone_number": "910-350-0067",
            "fax_number": "910-350-0065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AXIS PROSTHETICS AND ORTHOTICS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-09",
        "last_updated": "2023-10-11",
        "certification_date": "2023-10-11",
        "status": "A",
        "authorized_official_last_name": "MCDONALD",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "910-350-0067",
        "authorized_official_credential": "CP BOCP"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7703733",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "046M8",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7704938",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Atlantic Prosthetic Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Atlantic Prosthetic Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jennifer Avery, LCMHC
• Mary Eden Avery, LCSWA
• Mary Catherine Avey
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• Lacey Ann Aycock, FNP-C
• Susannah Aylesworth, MD
• Azalea Chiropractic & Acupuncture PLLC
• Azalea Coast Plastic Surgery, PA
• Azalea Coast Podiatry and Foot Spa, PLLC

• Customized Equipment (DME) in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Customized Equipment (DME) in North Carolina

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