You Deserve to Feel Better.
Nashville's Dedicated Headache & Migraine Specialist
Are you tired of waiting months to see a specialist?
Most headache and migraine patients wait months to see a neurologist and get 15 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 dismissal. No starting over every time.
We combine the clinical depth of a headache specialist with the time and attention most practices simply can't offer.
Same-week appointments available.
No referral needed.
Did you know that headache disorders affect approximately 40% of the world’s population?
Additionally, 40-50% of people who meet the criteria for migraine have never received a formal medical diagnosis.
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:
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 typically 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.
Why Cash-Pay?
HMS is a cash-pay practice. Here's why that's worth understanding before you rule it out.
In an insurance-based practice, a specialist visit is typically 15–20 minutes. That's not enough time to understand a complex headache history, let alone build a real treatment plan. By operating outside of insurance billing, we're able to offer the kind of appointment that migraine patients actually need; unrushed, thorough, and focused entirely on you.
New patient visit: $250 | Follow-up visits: $175
We accept HSA/FSA, credit card, debit card, Zelle, and ACH. Payment is due at the time of service
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.
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