OrganizationActive
Premier Spine & Pain Center PA
NPI 1679762876 · Pain Medicine Physician · Orange Park, FL
Provider details
- NPI number
- 1679762876
- Entity type
- Organization
- Primary specialty
- Pain Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Ashraf Andrawis, President(904) 264-0770
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(88/100 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
1543 Kingsley Ave Ste 3
Orange Park, FL 32073-4583
Phone: (904) 264-0770
Fax: (904) 264-0670
Street-level locationGet directions
Mailing address
1543 Kingsley Ave Ste 3
Orange Park, FL 32073-4583
Registry dates
- Enumerated
- 2007-10-24
- Last updated
- 2013-04-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.