OrganizationActive
Premier Chiropractic and Wellness Center PLC
NPI 1134393804 · Chiropractor · Jacksonville, FL
Provider details
- NPI number
- 1134393804
- Entity type
- Organization
- Primary specialty
- ChiropractorChiropractic Providers
- Organization subpart
- No
- Authorized official
- Kim Johnston, Chiropractic Physician(904) 996-6922
- License
- CH8655 (FL)
Specialties & taxonomies
Chiropractic Providers
Other Service Providers
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
3500 Beachwood Ct
Suite 203
Jacksonville, FL 32224-5706
Phone: (904) 996-6922
Fax: (904) 996-6923
Street-level locationGet directions
Mailing address
3500 Beachwood Ct
Jacksonville, FL 32224-5706
Registry dates
- Enumerated
- 2008-04-14
- Last updated
- 2008-10-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.