PRIVATE DIAGNOSITC CLINIC NPI 1477099471

NPI Information

NPI: 1477099471
Provider Name: PRIVATE DIAGNOSITC CLINIC
Classification: Clinic/Center - 261QP2300X
Specialization: Primary Care
Entity Type: Organization
Other Name: DUKE CHILDREN'S PRIMARY CARE
Address: 10211 ALM ST
SUITE 200
RALEIGH, NC
ZIP 27617
Phone: (919) 307-0301

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NPI Details

PRIVATE DIAGNOSITC CLINIC is a primary care clinic center in Raleigh, NC. PRIVATE DIAGNOSITC CLINIC NPI is 1477099471. The provider is registered as an organization entity type.
The provider Other Name Is Duke Children's Primary Care.

The provider's business location address is:

10211 ALM ST
SUITE 200
RALEIGH, NC
ZIP 27617-221
Phone: (919) 307-0301
Fax: (919) 307-0323

The provider's authorized official is James Scott Gibson .
The authorized official title is Executive Vice Dean Administration and has the following contact phone number (919) 684-3945.

The enumeration date for this NPI number is 1/13/2017 and was last updated on 9/12/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care	561029437	NORTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1447306113	MEDICAID	NORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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