Heag Pain Management Center PA

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

200500050 Issued in NC

Legal business name

HEAG PAIN MANAGEMENT CENTER PA

Practice address

203 Pomona Dr
Greensboro, NC 27407-1619

Phone

(919) 220-0107

Fax

(919) 220-7623

NPI assigned

Sep 1, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Randall Norris Grant

Title

Office Manager

Phone

(336) 282-0132

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NC2 enrollments

Enrollment records 2

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Heag Pain Management Center PA

  • Pain Medicine (Anesthesiology) Physician
  • Greensboro, NC
  • NPI 1588937999

  2062593064

  Same PAC ID

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kwadwo Gyarteng-Dakwa, MD

  • Pain Medicine (Anesthesiology) Physician
  • Durham, NC
  • NPI 1285679845
  Medicare reassignment NPD
• Marisa Jean Terry, MD

  • Physical Medicine & Rehabilitation Physician
  • Albuquerque, NM
  • NPI 1114210085

  NC

  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760572800000",
    "number": "1174625248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 POMONA DR",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274071619",
            "telephone_number": "919-220-0107",
            "fax_number": "919-220-7623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 POMONA DR",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274071619",
            "telephone_number": "919-220-0107",
            "fax_number": "919-220-7623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEAG PAIN MANAGEMENT CENTER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-01",
        "last_updated": "2025-10-16",
        "certification_date": "2025-10-16",
        "status": "A",
        "authorized_official_last_name": "GRANT",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_middle_name": "NORRIS",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "336-282-0132",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NC",
            "license": "200500050",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara Slovak Head, LPA
• Headache Wellness Center PC
• Headache Wellness Center PC
• Kenneth Jay Headen, MD
• Heag Pain Management Center PA
• Heag Pain Management Center PA
• Heag Pain Management Center PA
• Heag Pain Management Center, PA
• Renee Dolores Heagney, ADTR, LCAT
• Healexa Supplies LLC

• Pain Medicine (Anesthesiology) Physician in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Pain Medicine (Anesthesiology) Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.