AXIOM INTEGRATIVE HEALTH PC
NPI 1114763000
Family Medicine in Centennial, CO

Active since July 01, 2024
5657 S HIMALAYA ST # 280, CENTENNIAL, CO 80015(720) 994-2966 Get Directions Write a Review

NPPES record last updated: August 15, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 15, 2024, Jul 2, 2024 (2 updates tracked since 2024).

About Axiom Integrative Health Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AXIOM INTEGRATIVE HEALTH PC (NPI 1114763000) is a healthcare organization registered as a family medicine in Centennial, Colorado and active in the NPI registry since July 2024. The organization lists Tamara Johnson, Ceo, as its authorized official.

NPPES Registry Identity

NPI1114763000
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameAXIOM INTEGRATIVE HEALTH PC
Location Address5657 S HIMALAYA ST # 280Centennial, CO 80015-5307
Mailing Address5657 S Himalaya St # 280Centennial, CO 80015-5307
Organization SubpartNo
Authorized OfficialTamara JohnsonCeo · (308) 660-1634
Enumeration DateJuly 1, 2024
Last NPPES UpdateAugust 15, 20242 updates tracked since enumeration
NPPES CertifiedAugust 15, 2024
✔ NPI 1114763000 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
5657 S HIMALAYA ST # 280, Centennial, CO 80015

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Axiom Integrative Health Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Axiom Integrative Health PC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (2)

Nurse Practitioner
NPI 1962154898
9985 W REMINGTON PL
Littleton, CO 80128
(720) 818-8010
✔ PECOS✔ Accepts Medicare19 mi
Family Practice
NPI 1992739890
110 N BAILEY
North Platte, NE 69103
(308) 534-6029
✔ PECOS✔ Accepts Medicare235 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Axiom Integrative Health PC's NPI number?

The NPI number for Axiom Integrative Health PC is 1114763000. It was assigned to this organization in the NPPES registry on July 1, 2024.

Where is Axiom Integrative Health PC located?

Axiom Integrative Health PC is located at 5657 S Himalaya St # 280, Centennial, CO 80015. The listed phone number is (720) 994-2966.

What is Axiom Integrative Health PC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Axiom Integrative Health PC enrolled in Medicare?

Yes. Axiom Integrative Health PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Axiom Integrative Health PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Axiom Integrative Health PC, in Family Practice and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Axiom Integrative Health PC was last updated on August 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.