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Axon Medical Group PC

NPI 1164397253ActiveOrganization· Psychiatry & Neurology, Neurology· Raleigh, NC

Psychiatry & Neurology, Neurology in Raleigh, North Carolina, registered in NPPES in October 2025, part of Axon Medical Group PC. The authorized official on file is Sumul Modi, MD, Owner.

Overview

NPI1164397253
StatusActive
Entity typeOrganization (subpart)
Parent organizationAxon Medical Group PC
NPI issuedOct 8, 2025
Last updated in NPPESOct 8, 2025
Certified by providerOct 8, 2025

Specialties and licenses

TaxonomyCodeLicenseState
Psychiatry & Neurology, Neurology Primary2084N0400X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

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