Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Advanced Spine and Pain Center, PA

Organization Pain Medicine (Physical Medicine & Rehabilitation) Physician · NPI 1003275603

Advanced Spine and Pain Center, PA is a Pain Medicine (Physical Medicine & Rehabilitation) Physician in Clayton, North Carolina. Registered with an NPI since 2016.

In the registry since
2016
Specialties on file
2
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

166 Springbrook Ave Ste 105
Clayton, NC 27520-8520
Phone: (919) 359-8643
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pain Medicine (Physical Medicine & Rehabilitation) Physician (primary) Taxonomy 2081P2900X
Pain Medicine Physician Taxonomy 208VP0000X

Record details

NPI number1003275603
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Rachid Idrissi — Physician Owner · (919) 894-1740
NPI enumeratedFebruary 11, 2016
Last updated in NPPESFebruary 11, 2016
Mailing address166 Springbrook Ave, Suite 105, Clayton, NC 27520-8520

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