Cardinal Headache Center

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

Legal business name

CARDINAL HEADACHE CENTER

Practice address

518 Beaumont Rd
Fayetteville, NC 28304-4446

Phone

(910) 775-3130

Fax

(910) 775-3130

NPI assigned

Mar 1, 2022

Organization subpart

No

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

Authorized official

Name

Prof. Peter T Kalogerinis, PA-C, DMSCNPI 1740584853

Title

Co-Owner

Phone

(910) 584-8185

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 1

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

• Peter Theodoros Kalogerinis, PA-C

  • Physician Assistant
  • Fayetteville, NC
  • NPI 1740584853
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1646092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706400000000",
    "number": "1598411407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 87854",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283047854",
            "telephone_number": "910-584-8185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "518 BEAUMONT RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283044446",
            "telephone_number": "910-775-3130",
            "fax_number": "910-775-3130"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "204 Medspring Dr",
            "address_purpose": "LOCATION",
            "city": "Clayton",
            "state": "NC",
            "postal_code": "275209293",
            "country_code": "US",
            "telephone_number": "910-775-3130",
            "fax_number": "910-775-3130",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CARDINAL HEADACHE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-01",
        "last_updated": "2024-01-28",
        "certification_date": "2024-01-28",
        "status": "A",
        "authorized_official_last_name": "KALOGERINIS",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "910-584-8185",
        "authorized_official_name_prefix": "Prof.",
        "authorized_official_credential": "PA-C, DMSC"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cardinal Clinic L.L.C.
• Cardinal Clinic LLC
• Cardinal Clinic LLC
• Cardinal Clinic, LLC
• Cardinal Clinic, LLC
• Cardinal Pediatric Psychology PLLC
• Cardinale Healthcare HC1 Inc
• Cardio Sleep Solutions NC LLC
• Katelyn Cardwell
• Care #1 Home Care

• Neurology Physician in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Neurology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2024; 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.