OrganizationActive
Headache & Pain Center, a Medical Corporation
NPI 1073568325 · Interventional Pain Medicine Physician · Gray, LA
Provider details
- NPI number
- 1073568325
- Entity type
- Organization
- Primary specialty
- Interventional Pain Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jimmy Ponder, Owner/Ceo(985) 580-1200
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
123 Frontage a Rd
Gray, LA 70359-6301
Phone: (985) 580-1200
Fax: (985) 580-1218
Street-level locationGet directions
Mailing address
123 Frontage a Rd
Gray, LA 70359-6301
Registry dates
- Enumerated
- 2006-05-24
- Last updated
- 2013-08-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.