HEADACHE WELLNESS CENTER PC (NPI# 1811086242) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811086242 |
| Entity Type | Organization |
| Organization Name | HEADACHE WELLNESS CENTER PC |
| Other Organization Name | EMG EEG CONSULTANTS |
| Practice Address |
1414 Yanceyville Street First Floor Greensboro NC 27405-6930 |
| Practice Telephone | 3365748000 |
| Practice Fax Number | 3365748008 |
| Mailing Telephone | 3365748000 |
| Mailing Fax Number | 3365748008 |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2008-06-30 |
| Authorized Official Name | DR. MARSHALL CRAIG FREEMAN (CO OWNER) |
| Authorized Official Telephone | 3365748000 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 105374 | NC | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 89015YM | 05 | |
| NC | NC LICENSE | 200200900 | 01 |
| NC | BCBSNC ID | 0101N | 01 |
| Other Name | Type Code |
|---|---|
| EMG EEG Consultants | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649236845 | Headache Wellness Center PC | Specialist | 1414 Yanceyville Street, First Floor, Greensboro, NC 27405-6930 | 2006-04-25 |
| Street Address |
1414 YANCEYVILLE STREET FIRST FLOOR |
| City | GREENSBORO |
| State | NC |
| Zip Code | 27405-6930 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649236845 | Headache Wellness Center PC | Specialist | 1414 Yanceyville Street, First Floor, Greensboro, NC 27405-6930 | 2006-04-25 |
| 1811196801 | Karen Elizabeth Teague Clark | Physician Assistant | 1414 Yanceyville Street, Greensboro, NC 27405 | 2007-07-11 |
| 1710944756 | Marshall Craig Freeman | Specialist | 1414 Yanceyville Street, First Floor, Greensboro, NC 27405-6930 | 2006-04-26 |
| 1629035548 | James U Adelman | Specialist | 1414 Yanceyville Street, First Floor, Greensboro, NC 27405-6930 | 2006-04-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477038727 | Miya Jackson | Behavior Technician | 2308 Golden Gate Dr, Apt G, Greensboro, NC 27405 | 2018-10-02 |
| 1821576299 | Woodrow Eric Bradley | Day Training/Habilitation Specialist | 1403 Woocbriar Ave, Greensboro, NC 27405 | 2018-07-30 |
| 1922593094 | Constance Foushee | Nurse Practitioner | 1100 E. Wendover, Greensboro, NC 27405 | 2018-06-29 |
| 1760972434 | Ayana Linette Holland | Home Health Aide | 1417 Old Hickory Dr, Greensboro, NC 27405 | 2018-05-17 |
| 1790294700 | G. Antoine Gray | Specialist | 2100 Phillips Avenue, Suite B, Greensboro, NC 27405 | 2017-09-21 |
| 1306375910 | Wendy Carisa Boger | Registered Nurse | 1100 East Wendover Avenue, Greensboro, NC 27405 | 2017-06-07 |
| 1659827715 | Changing Paths Counseling Center Pllc | Community/Behavioral Health | 1600 E Wendoer Ave., Suite C, Greensboro, NC 27405 | 2016-08-29 |
| 1295187896 | Amanda Kirby Counseling, PC | Counselor | 1175 Revolution Mill Drive, Suite 29-2, Greensboro, NC 27405 | 2016-07-07 |
| 1780049429 | Pta | Residential Treatment Facility, Physical Disabilities | 1900 Sheldon Road, Greensboro, NC 27405 | 2015-12-23 |
| 1841655644 | Amaya Nicole Hardy | Counselor | 1600r E Wendover Ave Ste R, Greensboro, NC 27405 | 2015-12-21 |
| Find all providers in zip 27405 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
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| 1053721860 | Ck Vascular Pllc | Specialist | 1305 Lees Chapel Rd, Suite 103, Greensboro, NC 27455-2601 | 2014-05-01 |
| 1265868129 | Lindsey Ryan Brake | Specialist | 3607 Mhra 1111 Spring Garden St, Beyond Academics, The University of N.c. At Greensboro, Greensboro, NC 27412-5013 | 2013-09-23 |
| 1366685364 | Crossroads Treatment Centers | Specialist | 436 Spring Garden St, Greensboro, NC 27401-2734 | 2009-04-07 |
| 1386813038 | Alex Glenn Tomlinson | Specialist | 142 North Walnut Cir, Apt B, Greensboro, NC 27409 | 2008-02-27 |
| 1336350404 | Muriel W Boette | Specialist | 2712 Twin Lakes Dr, Greensboro, NC 27407-4717 | 2007-05-24 |
| 1669685889 | Michael C. Tanner | Specialist | 8 North Pointe Ct, Greensboro, NC 27408 | 2007-05-07 |
| 1962544064 | David Charles Best | Specialist | 600 Pasteur Dr, Greensboro, NC 27403-1140 | 2007-02-13 |
| Find all providers in GREENSBORO | ||||
| City | GREENSBORO |
| Zip Code | 27405 |
Please comment or provide details below to improve the information on HEADACHE WELLNESS CENTER PC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.