Axon Network Services, LLC
NPI 1124535109ActiveOrganization· Psychiatry & Neurology, Psychiatry· Indianapolis, IN
Psychiatry & Neurology, Psychiatry in Indianapolis, Indiana, registered in NPPES in December 2017, part of Axon Health Associates, LLC. The authorized official on file is Jerad Dalton, DO, Owner / Provider. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1124535109 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Axon Health Associates, LLC |
| NPI issued | Dec 29, 2017 |
| Last updated in NPPES | May 19, 2023 |
| Certified by provider | May 19, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychiatry & Neurology, Psychiatry Primary | 2084P0800X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (IN) |
|---|
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