Organization Active NPI

Restore Spine and Pain PLLC

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Holly Springs, NC
National Provider Identifier
1801773296
Registry record updated Oct 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
Legal business name
RESTORE SPINE AND PAIN PLLC
Practice address
1505 Werrington Dr
Holly Springs, NC 27540-6057
Phone
(984) 444-8824
Fax
(984) 202-2882
NPI assigned
Aug 19, 2025
Last updated
Oct 1, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2026

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

Authorized official

Name
Dr. Ankur A. Patel, DONPI 1215428933
Title
Owner/ Provider
Phone
(984) 444-8824

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X NU Primary

Addresses

Primary practice location

1505 Werrington Dr
Holly Springs, NC 27540-6057

Mailing address

PO Box 20223
Tampa, FL 33622-0223
Phone (727) 823-2188

Other practice location 1

1904 S Main St Ste 114
Wake Forest, NC 27587-5030
Phone (984) 444-8824

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251111003280 NC Part B Supplier - Clinic/Group Practice 3274024856 Receives reassigned benefits from 1 practitioner
Practice locations: Holly Springs, NC

National Provider Directory

National Provider Directory

Locations

1505 Werrington Dr
Holly Springs, NC 27540
Phone (984) 444-8824

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1755561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790812800000",
    "number": "1801773296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20223",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336220223",
            "telephone_number": "727-823-2188",
            "fax_number": "727-828-0723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 WERRINGTON DR",
            "city": "HOLLY SPRINGS",
            "state": "NC",
            "postal_code": "275406057",
            "telephone_number": "984-444-8824",
            "fax_number": "984-202-2882"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1904 S Main St Ste 114",
            "address_purpose": "LOCATION",
            "city": "Wake Forest",
            "state": "NC",
            "postal_code": "275875030",
            "country_code": "US",
            "telephone_number": "984-444-8824",
            "fax_number": "984-202-2882",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RESTORE SPINE AND PAIN PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-19",
        "last_updated": "2026-10-01",
        "certification_date": "2026-10-01",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "ANKUR",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER/ PROVIDER",
        "authorized_official_telephone_number": "984-444-8824",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holly Springs, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.