OrganizationActive
Advanced Spine and Pain Center, P.A.
NPI 1003275603 · Pain Medicine (Physical Medicine & Rehabilitation) Physician · Clayton, NC
Provider details
- NPI number
- 1003275603
- Entity type
- Organization
- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Rachid Idrissi, Physician Owner(919) 894-1740
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Pain Medicine Physician208VP0000X
Allopathic & Osteopathic Physicians
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 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
166 Springbrook Ave
Suite 105
Clayton, NC 27520-8520
Phone: (919) 359-8643
Street-level locationGet directions
Mailing address
166 Springbrook Ave
Clayton, NC 27520-8520
Registry dates
- Enumerated
- 2016-02-11
- Last updated
- 2016-02-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.