Headache Wellness Center PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

105374 Issued in NC

Legal business name

HEADACHE WELLNESS CENTER PC

Doing business as

EMG EEG Consultants

Practice address

1414 Yanceyville Street
First Floor
Greensboro, NC 27405-6930

Phone

(336) 574-8000

Fax

(336) 574-8008

NPI assigned

Oct 12, 2006

Last updated

Jun 30, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Marshall Craig Freeman, MDNPI 1710944756

Title

Co Owner

Phone

(336) 574-8000

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• EMG EEG Consultants Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Marshall Craig Freeman, MD

  • Neurology Physician
  • Greensboro, NC
  • NPI 1710944756

  Specialist

  NPD Authorized official
• James U Adelman, MD

  • Specialist
  • Greensboro, NC
  • NPI 1629035548
  NPD (past)

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214784000000",
    "number": "1811086242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1414 YANCEYVILLE STREET",
            "address_2": "FIRST FLOOR",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274056930",
            "telephone_number": "336-574-8000",
            "fax_number": "336-574-8008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 YANCEYVILLE STREET",
            "address_2": "FIRST FLOOR",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274056930",
            "telephone_number": "336-574-8000",
            "fax_number": "336-574-8008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEADACHE WELLNESS CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2008-06-30",
        "status": "A",
        "authorized_official_last_name": "FREEMAN",
        "authorized_official_first_name": "MARSHALL",
        "authorized_official_middle_name": "CRAIG",
        "authorized_official_title_or_position": "CO OWNER",
        "authorized_official_telephone_number": "336-574-8000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NC",
            "license": "105374",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89015YM",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC LICENSE",
            "identifier": "200200900",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSNC ID",
            "identifier": "0101N",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EMG EEG Consultants",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kristen Lassiter Hazlett, PTA
• HCP Greensboro NC Opco, LLC (Brighton Gardens of Greensboro)
• Head and Heart Counseling, PLLC
• Barbara Slovak Head, LPA
• 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

• Specialist in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Specialist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.