Premier Spine & Pain Center PA

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

Legal business name

PREMIER SPINE & PAIN CENTER PA

Practice address

1543 Kingsley Ave Ste 3
Orange Park, FL 32073-4583

Phone

(904) 264-0770

Fax

(904) 264-0670

NPI assigned

Oct 24, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Ashraf G Andrawis, MDNPI 1568445666

Title

President

Phone

(904) 264-0770

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ashraf Gayed Andrawis, MD

  • Pain Medicine Physician
  • Orange Park, FL
  • NPI 1568445666
  Medicare reassignment Care Compare group NPD Authorized official
• Luis Alberto Colon, ARNP

  • Adult Health Nurse Practitioner
  • Jacksonville, FL
  • NPI 1699083279
  Medicare reassignment Care Compare group NPD
• Casey Vaughan Thomas, APRN

  • Family Nurse Practitioner
  • Orange Park, FL
  • NPI 1144003716
  Medicare reassignment Care Compare group NPD
• Alfredo S Romero, M.D.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • San Antonio, TX
  • NPI 1003914953

  FL

  Medicare reassignment Care Compare group NPD
• Fabienne Rocher Rene, ARNP

  • Family Nurse Practitioner
  • Orange Park, FL
  • NPI 1184402752
  Medicare reassignment Care Compare group
• Huber Matos-Garsault, M.D.

  • Interventional Pain Medicine Physician
  • Jacksonville, FL
  • NPI 1649217076
  Medicare reassignment NPD
• Sourial Morris Sourial, D.O.

  • Pain Medicine Physician
  • Jacksonville, FL
  • NPI 1205148376
  Medicare reassignment
• Marcheta Crews, ARNP

  • Family Nurse Practitioner
  • Macclenny, FL
  • NPI 1023423829
  NPD
• Deborah Huffman, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Windermere, FL
  • NPI 1629323860
  NPD (past)
• Andrea Bailey Richardson, CRNP

  • Nurse Practitioner
  • Jacksonville, FL
  • NPI 1023575453
  NPD (past)
• Louis Peter Salvagio, D.C.

  • Chiropractor
  • Orange Park, FL
  • NPI 1396765665
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1193184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365724800000",
    "number": "1679762876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1543 KINGSLEY AVE STE 3",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320734583",
            "telephone_number": "904-264-0770",
            "fax_number": "904-264-0670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1543 KINGSLEY AVE STE 3",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320734583",
            "telephone_number": "904-264-0770",
            "fax_number": "904-264-0670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER SPINE & PAIN CENTER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-24",
        "last_updated": "2013-04-12",
        "status": "A",
        "authorized_official_last_name": "ANDRAWIS",
        "authorized_official_first_name": "ASHRAF",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-264-0770",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Roland Powers, D.O.
• Michelle Pozek
• Tamika Nicole Pratt
• Shyamaly Premaraj, DDS
• Premier Assisted Living Facility, LLC
• Anthony Robert Preta, P.T.A.
• Jalana Aareon Prevatt
• Johann Nicholas Prewett, PH.D.
• Jacqueline Elette Price, CRNA
• Pamela N Price, ARNP

• Pain Medicine Physician in Orange Park, FL
• Providers in Orange Park, FL by specialty
• Pain Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.