OrganizationActive
Kenneth J Headen MD PA
NPI 1780935395 · Community/Behavioral Health Agency · Greensboro, NC
Kenneth J Headen MD PA is a Community/Behavioral Health Agency organization in Greensboro, NC (NPI 1780935395).
Provider details
- NPI number
- 1780935395
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Kenneth Headen, Md/Ceo(336) 279-1227
- License
- 9400266 (NC)
Specialties & taxonomies
Agencies
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
806 Summit Ave
210a
Greensboro, NC 27405-7861
Phone: (336) 279-1227
Fax: (336) 279-1226
Street-level locationGet directions
Mailing address
806 Summit Ave Ste 210a
Greensboro, NC 27405-7861
Registry dates
- Enumerated
- 2012-09-21
- Last updated
- 2012-09-21
Frequently asked questions
- What is Kenneth J Headen MD PA's NPI number?
- Kenneth J Headen MD PA's National Provider Identifier (NPI) is 1780935395, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Kenneth J Headen MD PA?
- Kenneth J Headen MD PA is classified in the NPPES registry as Community/Behavioral Health Agency (Agencies).
- Where is Kenneth J Headen MD PA located?
- Kenneth J Headen MD PA's practice location on file with NPPES is 806 Summit Ave, Greensboro, NC 27405-7861.
- What is Kenneth J Headen MD PA's phone number?
- The practice phone number listed in the NPPES registry for Kenneth J Headen MD PA is (336) 279-1227.
- Who is the authorized official for Kenneth J Headen MD PA?
- The authorized official listed on Kenneth J Headen MD PA's NPPES record is Kenneth Headen, Md/Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Kenneth J Headen MD PA's NPI active?
- Yes — Kenneth J Headen MD PA's NPI (1780935395) is active in the NPPES registry as of the last update on 2012-09-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.