Headache Specialists

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

Legal business name

HEADACHE SPECIALISTS

Practice address

14231 Seaway Rd, Ste 4001
Gulfport, MS 39503-4610

Phone

(205) 223-4359

NPI assigned

Oct 17, 2022

Last updated

Mar 21, 2023By 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. Paula Warren, MDNPI 1932336302

Title

Owner

Phone

(228) 213-8888

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

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.

• Paula Province Warren, M.D.

  • Neurology Physician
  • Hattiesburg, MS
  • NPI 1932336302
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1665964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679356800000",
    "number": "1922724467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14231 SEAWAY RD, STE 4001",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395034610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14231 SEAWAY RD, STE 4001",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395034610",
            "telephone_number": "205-223-4359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEADACHE SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-17",
        "last_updated": "2023-03-21",
        "certification_date": "2023-03-15",
        "status": "A",
        "authorized_official_last_name": "WARREN",
        "authorized_official_first_name": "PAULA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "228-213-8888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Neurology Physician in Gulfport, MS
• Providers in Gulfport, MS by specialty
• Neurology Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.