AXIAL CLINIC IN PC
NPI 1316617996
Internal Medicine in Louisville, KY

Active since September 15, 2021
1169 EASTERN PKWY STE 2313, LOUISVILLE, KY 40217(502) 406-8133 Get Directions Write a Review

NPPES record last updated: June 11, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 9, 2024, Oct 4, 2023, Sep 15, 2021 (3 updates tracked since 2021).

About Axial Clinic In Pc NPPES

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

AXIAL CLINIC IN PC (NPI 1316617996) is a healthcare organization registered as an internal medicine in Louisville, Kentucky and active in the NPI registry since September 2021. The organization maintains a secondary practice location in Lexington and lists Alice Heywood, Secretary, as its authorized official.

NPPES Registry Identity

NPI1316617996
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameAXIAL CLINIC IN PC
Location Address1169 EASTERN PKWY STE 2313Louisville, KY 40217-1444
Mailing Address209 10th Ave S Ste 350Nashville, TN 37203-4166 · (615) 231-8560
Organization SubpartNo
Authorized OfficialAlice HeywoodSecretary · (615) 231-8560
Enumeration DateSeptember 15, 2021
Last NPPES UpdateJune 11, 20263 updates tracked since enumeration
NPPES CertifiedJune 11, 2026
✔ NPI 1316617996 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedPreventive Medicine · Addiction MedicineTaxonomy 2083A0300X
1169 EASTERN PKWY STE 2313, Louisville, KY 40217

Secondary Practice Location 1

Location 11401 Harrodsburg Rd Ste A530Lexington, KY 40504-1717 · Phone (502) 406-8133

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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)

Axial Clinic In Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Axial Clinic In PC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (6)

Nurse Practitioner
NPI 1043861735
1169 EASTERN PKWY STE 2313
Louisville, KY 40217
(502) 406-8133
✔ PECOSSame address
Nurse Practitioner
NPI 1679962872
1401 HARRODSBURG RD STE A530
Lexington, KY 40504
(502) 406-8133
✔ PECOS67 mi
Nurse Practitioner
NPI 1588056089
1401 HARRODSBURG RD STE A530
Lexington, KY 40504
(024) 068-1335
✔ PECOS67 mi
Nurse Practitioner
NPI 1124599394
3660 GUION RD STE 210
Indianapolis, IN 46222
(317) 688-1327
✔ PECOS113 mi
Nurse Practitioner
NPI 1801385786
2201 MURPHY AVE STE 103
Nashville, TN 37203
(317) 849-8222
✔ PECOS155 mi
Addiction Medicine
NPI 1962502492
722 E BUTLER PIKE
Ambler, PA 19002
(610) 524-1552
✔ PECOS581 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 Axial Clinic In PC's NPI number?

The NPI number for Axial Clinic In PC is 1316617996. It was assigned to this organization in the NPPES registry on September 15, 2021.

Where is Axial Clinic In PC located?

Axial Clinic In PC is located at 1169 Eastern Pkwy Ste 2313, Louisville, KY 40217. The listed phone number is (502) 406-8133.

What is Axial Clinic In PC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Axial Clinic In PC enrolled in Medicare?

Yes. Axial Clinic In PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Axial Clinic In PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 2 Medicare specialties reassign their Medicare billing to Axial Clinic In PC. 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. The largest specialties are Nurse Practitioner (5) and Addiction Medicine (1). Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Axial Clinic In PC was last updated on June 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.