LAUREL PAIN CLINIC PA
NPI 1811098874
Pain Medicine - Interventional Pain Medicine in Laurel, MS

Active since September 25, 2006
1706 W 12TH ST, LAUREL, MS 39440(601) 369-2021 Get Directions Write a Review

NPPES record last updated: November 6, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Laurel Pain Clinic Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAUREL PAIN CLINIC PA (NPI 1811098874) is a healthcare organization registered as an interventional pain medicine in Laurel, Mississippi and active in the NPI registry since September 2006. The organization lists Ashley N Buie, Billing Supervisor, as its authorized official.

NPPES Registry Identity

NPI1811098874
Entity TypeOrganization
Primary Taxonomy208VP0014X
Legal Business NameLAUREL PAIN CLINIC PA
Location Address1706 W 12TH STLaurel, MS 39440-2559
Mailing Address1706 W 12th StLaurel, MS 39440-2559 · (601) 369-2021
Organization SubpartNo
Authorized OfficialAshley N BuieBilling Supervisor · (601) 898-7530
Enumeration DateSeptember 25, 2006
Last NPPES UpdateNovember 6, 2012
✔ NPI 1811098874 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPain Medicine · Interventional Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code208VP0014X
License✔ Licensed in MS · 16318
Definition
Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.
1706 W 12TH ST, Laurel, MS 39440

Other Identifiers 3

OtherDF1770MS · Railroad Medicare
Medicare ID-Type UnspecifiedCO3320MS
Medicaid09987586MS

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Laurel Pain Clinic Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

15

Medicare enrollment records show 15 clinicians reassign Medicare billing to Laurel Pain Clinic PA, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 12 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 3

Nurse Practitioner13
Anesthesiology1
Internal Medicine1

Clinicians, nearest first (15)

Nurse Practitioner
NPI 1003775842
1706 W 12TH ST
Laurel, MS 39440
(601) 369-2028
✔ PECOSSame address
Anesthesiology
NPI 1578594586
1710 W 12TH ST
Laurel, MS 39440
(601) 369-2021
✔ PECOSSame address
Nurse Practitioner
NPI 1730836958
1706 W 12TH ST
Laurel, MS 39440
(601) 369-2028
✔ PECOS0.8 mi
Nurse Practitioner
NPI 1962256628
1706 W 12TH ST
Laurel, MS 39440
(601) 369-2028
✔ PECOS✔ Accepts Medicare0.8 mi
Nurse Practitioner
NPI 1457089302
1706 W 12TH ST
Laurel, MS 39440
(601) 369-2028
✔ PECOS0.8 mi
Nurse Practitioner
NPI 1013695097
1706 W 12TH ST
Laurel, MS 39440
(601) 369-2028
✔ PECOS0.8 mi
Nurse Practitioner
NPI 1912676313
1430 JEFFERSON ST
Laurel, MS 39440
(601) 425-2273
✔ PECOS✔ Accepts Medicare1.3 mi
Internal Medicine
NPI 1720092331
1203 JEFFERSON ST
Laurel, MS 39440
(601) 649-2863
✔ PECOS✔ Accepts Medicare1.3 mi
Nurse Practitioner
NPI 1194967794
1220 JEFFERSON ST
Laurel, MS 39440
(601) 426-4000
✔ PECOS✔ Accepts Medicare1.3 mi
Nurse Practitioner
NPI 1982195137
1220 JEFFERSON ST
Laurel, MS 39440
(601) 319-6808
✔ PECOS✔ Accepts Medicare1.4 mi
Nurse Practitioner
NPI 1164062295
PO BOX 247
Laurel, MS 39441
(601) 649-5990
✔ PECOS✔ Accepts Medicare2.2 mi
Nurse Practitioner
NPI 1265015218
30 CIRCLE J DR STE 1
Laurel, MS 39440
(601) 425-0092
✔ PECOS5.6 mi
Nurse Practitioner
NPI 1821525593
100 HIGHWAY 535
Seminary, MS 39479
(601) 722-3208
✔ PECOS✔ Accepts Medicare22 mi
Nurse Practitioner
NPI 1619004744
30 CIRCLE J DR SUITE 1
Laurel, MS 39440
(601) 425-0092
✔ PECOS✔ Accepts Medicare41 mi
Nurse Practitioner
NPI 1003334301
1800 12TH ST
Meridian, MS 39301
(601) 484-6700
✔ PECOS✔ Accepts Medicare53 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Laurel Pain Clinic PA's NPI number?

The NPI number for Laurel Pain Clinic PA is 1811098874. It was assigned to this organization in the NPPES registry on September 25, 2006.

Where is Laurel Pain Clinic PA located?

Laurel Pain Clinic PA is located at 1706 W 12th St, Laurel, MS 39440. The listed phone number is (601) 369-2021.

What is Laurel Pain Clinic PA's specialty?

The primary specialty registered for this NPI is Pain Medicine, specializing in Interventional Pain Medicine, with taxonomy code 208VP0014X.

Is Laurel Pain Clinic PA enrolled in Medicare?

Yes. Laurel Pain Clinic PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Laurel Pain Clinic PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 15 clinicians in 3 Medicare specialties reassign their Medicare billing to Laurel Pain Clinic PA. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (13), Anesthesiology (1) and Internal Medicine (1). Of these, 2 practice at this address and 12 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Laurel Pain Clinic PA accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 2 other insurers list Laurel Pain Clinic PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Laurel Pain Clinic PA was last updated on November 6, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.