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AXONOS MEDICAL GROUP PLLC
NPI 1760182448
Pain Medicine - Interventional Pain Medicine in Fort Worth, TX

Active since March 09, 2023
209 SAINT LOUIS AVE STE 100, FORT WORTH, TX 76104(817) 294-0934 Get Directions Write a Review

NPPES record last updated: March 9, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Axonos Medical Group Pllc NPPES

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

AXONOS MEDICAL GROUP PLLC (NPI 1760182448) is a healthcare organization registered as an interventional pain medicine in Fort Worth, Texas and active in the NPI registry since March 2023. The organization lists Steven Simmons, Owner, as its authorized official.

NPPES Registry Identity

NPI1760182448
Entity TypeOrganization
Primary Taxonomy208VP0014X
Legal Business NameAXONOS MEDICAL GROUP PLLC
Location Address209 SAINT LOUIS AVE STE 100Fort Worth, TX 76104-1279
Mailing Address209 Saint Louis Ave Ste 100Fort Worth, TX 76104-1279
Phone(817) 294-0934
Organization SubpartNo
Authorized OfficialSteven SimmonsOwner · (817) 294-0934
Enumeration DateMarch 9, 2023
NPPES CertifiedMarch 9, 2023
✔ NPI 1760182448 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPain Medicine · Interventional Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code208VP0014X
Definition
Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.
209 SAINT LOUIS AVE STE 100, Fort Worth, TX 76104
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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)

Axonos Medical Group Pllc 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 Axonos Medical Group PLLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Hayleyesus Gulilat, MSN, RN, FNP-C
Nurse Practitioner
NPI 1316310170
209 SAINT LOUIS AVE
Fort Worth, TX 76104
(817) 294-0934
✔ PECOSSame address
Riley Johnson, DO
Pain Management
NPI 1366939779
209 SAINT LOUIS AVE STE 100
Fort Worth, TX 76104
(817) 294-0934
✔ PECOS✔ Accepts MedicareSame address

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 Axonos Medical Group PLLC's NPI number?

The NPI number for Axonos Medical Group PLLC is 1760182448. It was assigned to this organization in the NPPES registry on March 9, 2023.

Where is Axonos Medical Group PLLC located?

Axonos Medical Group PLLC is located at 209 Saint Louis Ave Ste 100, Fort Worth, TX 76104. The listed phone number is (817) 294-0934.

What is Axonos Medical Group PLLC's specialty?

The primary specialty registered for this NPI is Pain Medicine, specializing in Interventional Pain Medicine, with taxonomy code 208VP0014X.

Is Axonos Medical Group PLLC enrolled in Medicare?

Yes. Axonos Medical Group PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Axonos Medical Group PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Axonos Medical Group PLLC, in Nurse Practitioner and Pain Management. 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. Of these, 2 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 Axonos Medical Group PLLC was last updated on March 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.