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

Q: 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.

Q: 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.

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: August 02, 2026.

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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

Phone(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

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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

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.Insurance ›

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. WENDI DUNGAN RN, BSN, MSN, FNP

Pain Medicine (Pain Medicine)