Organization Active NPI

Premier Health & Wellness Center Corp

  • Family Medicine Physician
  • Pompano Beach, FL
National Provider Identifier
1790643906
Registry record updated Jan 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
PREMIER HEALTH & WELLNESS CENTER CORP
Practice address
2000 N Federal Hwy Ste 201
Pompano Beach, FL 33062-1022
Phone
(954) 235-5829
NPI assigned
Jan 14, 2026
Organization subpart
Yes
Parent organization
PREMIER HEALTH & WELLNESS CENTER CORPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 14, 2026

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

Authorized official

Name
Mr. Darrell Johnson
Title
Credentialing Specialist
Phone
(561) 356-6313

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

2000 N Federal Hwy Ste 201
Pompano Beach, FL 33062-1022

Mailing address

2000 N Federal Hwy Ste 201
Pompano Beach, FL 33062-1022
Phone (954) 235-5829

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260312002661 FL Part B Supplier - Clinic/Group Practice 4688157183 Receives reassigned benefits from 1 practitioner
Practice locations: Pompano Beach, FL

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2343179Premier Health and Wellness Center Corp2000 N Federal Highway Suite 201, Pompano Beach, FL 33062Certificate of waiverMay 1, 2028

National Provider Directory

National Provider Directory
Part of
Premier Health Wellness Center Corp

Locations

2000 N Federal Hwy
Ste 201
Pompano Beach, FL 33062
Phone (561) 618-8001

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1768348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768348800000",
    "number": "1790643906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 N FEDERAL HWY STE 201",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330621022",
            "telephone_number": "954-235-5829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 N FEDERAL HWY STE 201",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330621022",
            "telephone_number": "954-235-5829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER HEALTH & WELLNESS CENTER CORP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PREMIER HEALTH & WELLNESS CENTER CORP",
        "enumeration_date": "2026-01-14",
        "last_updated": "2026-01-14",
        "certification_date": "2026-01-14",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "DARRELL",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "561-356-6313",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pompano Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2026; 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.