PRIVATE DIAGNOSTIC CLINIC PLLC NPI 1861741233

NPI Information

  • NPI: 1861741233
  • Provider Name: PRIVATE DIAGNOSTIC CLINIC, PLLC
  • Classification: Family Medicine - 207QS0010X
  • Specialization: Sports Medicine
  • Entity Type: Organization
  • Doing Business As: CAROLINA FAMILY PRACTICE & SPORTS MEDICINE-HOLLY SPRINGS
  • Address: 190 ROSEWOOD CENTRE DR
    STE. 100
    HOLLY SPRINGS, NC
    ZIP 27540
  • Phone: (919) 238-2000

Map and Directions

Get Directions

NPI Details

PRIVATE DIAGNOSTIC CLINIC, PLLC is a sports medicine family medicine in Holly Springs, NC. The provider is a family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation. PRIVATE DIAGNOSTIC CLINIC, PLLC NPI is 1861741233. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Carolina Family Practice & Sports Medicine-holly Springs.

The provider's business location address is:

190 ROSEWOOD CENTRE DR
STE. 100
HOLLY SPRINGS, NC
ZIP 27540-628
Phone: (919) 238-2000

The provider's authorized official is Christopher Thomas Frederick .
The authorized official title is Cfo and has the following contact phone number (919) 613-7762.

The enumeration date for this NPI number is 8/31/2012 and was last updated on 7/11/2022.

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
1207QS0010XFamily MedicineSports MedicineYes

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

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.