Organization Active NPI

Ms Pain & Migraine

  • Pain Medicine (Psychiatry & Neurology) Physician
  • Hattiesburg, MS
National Provider Identifier
1689270142
Registry record updated Jul 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084P2900X
Legal business name
MS PAIN & MIGRAINE
Practice address
4 Willow PT
Hattiesburg, MS 39402-1150
Phone
(601) 898-7530
NPI assigned
Dec 9, 2020
Last updated
Jul 9, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2026

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

Authorized official

Name
Ashley Buie
Title
Access Manager
Phone
(601) 898-7530

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Psychiatry & Neurology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P2900X Primary

Addresses

Primary practice location

4 Willow PT
Hattiesburg, MS 39402-1150

Mailing address

4 Willow PT
Hattiesburg, MS 39402-1150

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210329000361 MS Part B Supplier - Clinic/Group Practice 5496162026 Receives reassigned benefits from 7 practitioners
1 other NPI on this enrollment
Practice locations: Southaven, MS; Hattiesburg, MS

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Ms Pain Migraine2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4 Willow Pt
Hattiesburg, MS 39402
Phone (601) 582-6069

3495 Cobblestone Blvd N
#200
Southaven, MS 38672

3495 Cobblestone Blvd N
Ste 200
Southaven, MS 38672
Phone (662) 662-0992

Practitioners & affiliated clinicians

Practitioners 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1607472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783555200000",
    "number": "1689270142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 WILLOW PT",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394021150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 WILLOW PT",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394021150",
            "telephone_number": "601-898-7530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MS PAIN & MIGRAINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-09",
        "last_updated": "2026-07-09",
        "certification_date": "2026-07-09",
        "status": "A",
        "authorized_official_last_name": "BUIE",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "ACCESS MANAGER",
        "authorized_official_telephone_number": "601-898-7530"
    },
    "taxonomies": [
        {
            "code": "2084P2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hattiesburg, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2026; 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.