AXON (NPI# 1831270560) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831270560 |
| Entity Type | Organization |
| Organization Name | AXON |
| Practice Address |
1860 Chadwick Dr Ste 258 Ste 258 Jackson MS 39204-3486 |
| Mailing Address |
1860 Chadwick Dr Ste 258 Jackson MS 39204-3463 |
| Practice Telephone | 6013762004 |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2011-11-02 |
| Authorized Official Name | PATRICK WELDON (OWNER) |
| Authorized Official Telephone | 6013762004 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | MEDICARE RAILROAD | DE7025 | 01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | AXON | 630 W Waldheim Rd, Pittsburgh, PA 15215-1806 |
| System for Award Management (SAM) Entities | AXON ADVISORS | 333 N. Alabama St., Ste. 350, Indianapolis, IN 46204-2275 |
| System for Award Management (SAM) Entities | AXON AI TECH LLC | 43718 Middlebrook Ter, Ashburn, VA 20147-5620 |
| New York State Corporations | AXON ANALYTICS, LLC | 4684 Harlem Road, Amherst, Ny 14226 |
| Virginia Business Entities | AXON ASSOCIATES INC. | 225 Reinekers Lane, Suite 590, Alexandria, Virginia 22314 |
| Iowa Business Entities | AXON AVIATION, INC. | Po Box 2040, Davenport, IA 52809 |
| Connecticut Business Registrations | AXON BUSINESS PUBLICATIONS, INC. | 3535 Broadway, Kansas City, MO 64111 |
| System for Award Management (SAM) Entities | AXON CELERITY, LLC | 8914 Footstep Ct, Annandale, VA 22003-3866 |
| Virginia Business Entities | Axon Cells Inc. | 756 Club Drive, Keswick, Virginia 22947 |
| System for Award Management (SAM) Entities | AXON CIRCUIT, INC. | 424 S Ware Blvd, Tampa, FL 33619-4402 |
| Street Address |
1860 CHADWICK DR STE 258 STE 258 |
| City | JACKSON |
| State | MS |
| Zip Code | 39204-3486 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710472758 | Ragen Layne Smith | Nurse Practitioner | 1860 Chadwick Dr Ste 258, Jackson, MS 39204-3486 | 2018-06-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639797442 | Walk By Faith Not By Sight Homecare | Student in an Organized Health Care Education/Training Program | 2310 Us-80 West, Suite F 1154, Jackson, MS 39204 | 2020-07-08 |
| 1427593888 | Care First Home Care Agency, Inc | In Home Supportive Care | 931 Hwy 80 Suite 2 B-9, Jackson, MS 39204 | 2016-12-21 |
| 1134678808 | Yolonda Kinzie | Registered Nurse | 1134 Winter St., Jackson, MS 39204 | 2016-09-23 |
| 1578983938 | Seaneather Arline Mcgill | Nurse's Aide | 2024 Shady Lane Dr, Jackson, MS 39204 | 2014-04-23 |
| 1942591128 | Real Solutilons, LLC | Exclusive Provider Organization | 831 Hwy 80 W., Jackson, MS 39204 | 2011-04-22 |
| 1548405236 | Visions Physical Therapy | Specialist/Technologist | 4700 Robinson Rd, Jackson, MS 39204 | 2008-12-09 |
| 1588759393 | Donald H Butts | Specialist | 1920 Chadwick Drive, Suite 109, Jackson, MS 39204 | 2006-10-04 |
| 1003907460 | Patrick E Weldon | Psychiatry & Neurology | 1860 Chadwick Drive, Suite 258, Jackson, MS 39204 | 2006-09-28 |
| 1922117662 | Elgin Kenneth Walley | Dentist | 2174 Henry Hill Drive, Jackson, MS 39204 | 2006-08-29 |
| 1376555045 | Linda Nell Hunter | Nurse Practitioner | 1860 Chadwick Dr Ste 150a, Jackson, MS 39204 | 2006-08-12 |
| Find all providers in zip 39204 | ||||
| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407173453 | Menarvia Nixon Gaddis | Neurological Surgery | 1860 Chadwick Dr Ste 305, Jackson, MS 39204-3467 | 2010-04-30 |
| 1346485794 | Lon F Alexander Md Pllc | Neurological Surgery | 1860 Chadwick Dr Ste 205, Jackson, MS 39204-3466 | 2008-12-12 |
| 1174686182 | St. Dominic Medical Associates LLC | Neurological Surgery | 971 Lakeland Dr. Suite 1250, Jackson, MS 39216-0000 | 2006-12-19 |
| 1376625095 | Semmes Murphey Clinic | Neurological Surgery | 700 West Forrest Ave, Suite 200, Jackson, TN 38301 | 2006-10-20 |
| 1013008242 | John Adrian Lancon | Neurological Surgery | 971 Lakeland Dr Ste 1250, Jackson, MS 39216-4609 | 2006-09-26 |
| 1518062462 | Hugh Glenn Barnett II | Neurological Surgery | 700 W Forest Ave Ste 200, Jackson, TN 38301-3940 | 2006-09-14 |
| 1578591731 | John Wallace Neblett Jr. | Neurological Surgery | 700 West Forest, Ste 200, Jackson, TN 38301 | 2006-06-28 |
| 1366485682 | West Tennessee Neurosurgical Clinic | Neurological Surgery | 1040 Greystone Sq, Jackson, TN 38305-3580 | 2006-06-14 |
| 1396282356 | W.a. Foote Memorial Hospital, Inc | Neurological Surgery | 205 N. East Ave, Jackson, MI 49201 | 2017-01-27 |
| 1467908053 | Zachary Smalley | Neurological Surgery | 2500 N State St, Department of Neurosurgery, Jackson, MS 39216-4500 | 2016-09-01 |
| Find all providers in JACKSON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.