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You Deserve to Feel Better.

Nashville's Dedicated Headache & Migraine Specialist

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Are you tired of waiting months to see a specialist?

Most headache and migraine patients wait months to see a neurologist and get 15-20 minutes when they arrive.

At Headache and Migraine Specialists, your first visit is 60 minutes, one-on-one, dedicated entirely to understanding your headache history from the beginning.

No rushed appointments. No starting over every time.

We combine the clinical depth of headache specialists with the time and attention most practices simply can't offer.

Appointments available within 7 days.

No referral needed.

  • New Onset Headache

  • Episodic and Chronic Migraine

  • Atypical Migraine

  • Cervicogenic Headaches

  • Tension Headaches

  • TACs (trigeminal autonomic cephalalgias)

  • Headache after treatment for stroke or intracerebral hemorrhage

  • Headache after treatment for concussion or TBI

Common Conditions We Treat:

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Owner and Founder: Elizabeth Settle, DNP AG-ACNP

I'm Elizabeth Settle — a Doctorate-prepared nurse practitioner with over a decade of clinical experience across emergency medicine, trauma critical care, and neurology.

I also happen to be a migraine patient myself. I know what it feels like to be dismissed, to cycle through medications that don't work, and to wish someone would just take the time to figure out what's actually going on.

That's exactly what we do here.

HMS was built around one belief: that people with headache disorders deserve a specialist who has the training to help them and the time to actually do it. Every patient gets a thorough evaluation, a personalized treatment plan, and a provider who is reachable when things change.

About Us

How It Works

1. Book online — no referral required New patients can book directly through our website. Same-week appointments are available. Telehealth visits available statewide; in-person visits available upon request.

2. Your 60-minute new patient visit This is not a typical specialist appointment. We spend the full hour reviewing your complete headache history. This includes what you've tried, what's worked, what hasn't, and what's been missed. You leave with a clear diagnosis, a treatment plan that's specific to you, and a direct line to follow up.

We Accept Insurance

Headache and Migraine Specialists is in-network with most major insurance plans, including:

Aetna · BlueCross BlueShield of Tennessee · Cigna · Medicare · Oscar · Tricare · UnitedHealthcare

Using your insurance doesn’t change how we practice. Your first visit is still a full hour, one-on-one, and follow-ups are built around your progress, not a 15-minute slot.

Procedures and brand-name treatments: We handle prior authorizations and appeals for you, and help you access manufacturer savings programs to keep medication costs down.

No insurance, or a plan we don’t take? Self-pay is available: $250 for a new patient visit and $175 for follow-ups. We accept HSA/FSA, credit and debit cards, Zelle, and ACH.

Book an Appointment

New patients: Book directly online — no referral needed. Select "New Patient" to be taken to our scheduling portal.

Returning patients: Use the "Follow-Up Visit" option when booking or reach us directly at 615-200-8135.

Telehealth: Available to patients throughout Tennessee. Most visits are conducted via telehealth for your convenience.

In-person: Limited in-person appointments are available in Nashville in the Green Hills area. Send us a message through the Contact form below to request an in-person visit.

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Contact Us

If you are a returning patient please notify us when booking your appointment or fill out the form here.

Phone: +1 615-200-8135

Fax: +1 615-235-1202