AXIS MEDICAL – Multi-Specialty Clinic/Center, NPI 1871247759

AXIS MEDICAL is a healthcare provider. based in Virginia beach, Virginia. specializing in Multi-Specialty Clinic/Center. The NPI Number for AXIS MEDICAL is 1871247759

Main info

Organization
Name
AXIS MEDICAL
NPI
1871247759
Phone
(757) 965-2476
Address
4542 BONNEY RD STE B
Authorized Official
DR. MARION CONSTANTINIDES CEO DC
Enumeration Date
9 February 2022
Last Update Date
31 August 2022
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience33
Completeness75
Years active:4State licenses:0Digital endpointsOther names

Provider Addresses for AXIS MEDICAL

  • 4542 BONNEY RD STE B

    VIRGINIA BEACH, VA 234623867

    Phone: (757) 965-2476

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-09-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20220920001761OClinic/Group PracticeVATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 23462)

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Reviews

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Frequently asked questions

Does AXIS MEDICAL share an NPI with anyone else?
NPI numbers are unique to each provider or organization — AXIS MEDICAL uses 1871247759.
Can I rely on AXIS MEDICAL being an active provider?
As of the registry snapshot, AXIS MEDICAL is marked active.
What healthcare role does AXIS MEDICAL hold?
Scheduling teams often label AXIS MEDICAL under Multi-Specialty Clinic/Center. Clinical services aligned with this taxonomy classification.
What address line appears for AXIS MEDICAL?
AXIS MEDICAL's geographic hint is Virginia Beach, Virginia in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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