KERNODLE CLINIC-MEBANE
NPI 1063753283
Obstetrics & Gynecology in Mebane, NC

Active since March 13, 2013CLIA 34D0866525 · Accreditation
101 MEDICAL PARK DR, MEBANE, NC 27302(919) 563-2500 Get Directions Write a Review

NPPES record last updated: May 13, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 13, 2022, Feb 22, 2022 (2 updates tracked since 2022).

About Kernodle Clinic-mebane NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KERNODLE CLINIC-MEBANE (NPI 1063753283) is a healthcare organization registered as an obstetrics & gynecology in Mebane, North Carolina and active in the NPI registry since March 2013. The organization holds an CLIA Accreditation certificate valid through May 30, 2027 and lists Paul R Newman, Executive Director, Pdc, as its authorized official.

NPPES Registry Identity

NPI1063753283
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NamePRIVATE DIAGNOSTIC CLINIC, PLLC
Location Address101 MEDICAL PARK DRMebane, NC 27302-7639
Mailing AddressPo Box 110566Durham, NC 27709-5566 · (919) 620-4855 · Fax (919) 620-4921
Organization SubpartNo
Authorized OfficialPaul R NewmanExecutive Director, Pdc · (919) 613-7652
Enumeration DateMarch 13, 2013
Last NPPES UpdateMay 13, 20222 updates tracked since enumeration
NPPES CertifiedMay 13, 2022
NPI 1063753283 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Also ListedInternal Medicine · GastroenterologyTaxonomy 207RG0100X
Also ListedInternal Medicine · Sports MedicineTaxonomy 207RS0010X
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X
Also ListedPodiatristTaxonomy 213E00000X
101 MEDICAL PARK DR, Mebane, NC 27302

Other Names 1

Doing Business AsKernodle Clinic-mebane

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 34D0866525

Kernodle Clinic Mebane · Mebane, NC
Active · expires May 30, 2027
CLIA Number34D0866525
Laboratory TypePhysician Office
Certificate Effective DateMay 31, 2025
Certificate Expiration DateMay 30, 2027
Laboratory DirectorDr. Alyssa M. Kraynie
Laboratory Phone(919) 563-2500
Laboratory LocationKernodle Clinic Mebane101 Medical Park Drive, Mebane, NC 27302
CLIA data matches this NPI record on: Address Name Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
101 MEDICAL PARK DR
MEBANE, NC 27302
Ophthalmology
101 MEDICAL PARK DR
MEBANE, NC 27302
Nurse Practitioner (Gerontology)
101 MEDICAL PARK DR
MEBANE, NC 27302
Family Medicine
101 MEDICAL PARK DR
MEBANE, NC 27302
Orthopaedic Surgery
101 MEDICAL PARK DR
MEBANE, NC 27302
Nurse Practitioner
101 MEDICAL PARK DR
MEBANE, NC 27302

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Private Diagnostic Clinic, PLLC's NPI number?

The NPI number for Private Diagnostic Clinic, PLLC is 1063753283. It was assigned to this organization in the NPPES registry on March 13, 2013. The provider is doing business as Kernodle Clinic-Mebane.

Where is Private Diagnostic Clinic, PLLC located?

Private Diagnostic Clinic, PLLC is located at 101 Medical Park Dr, Mebane, NC 27302. The listed phone number is (919) 563-2500.

What is Private Diagnostic Clinic, PLLC's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Does Private Diagnostic Clinic, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 34D0866525) is associated with this NPI, valid through May 30, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Private Diagnostic Clinic, PLLC accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina and Ambetter of Tennessee list Private Diagnostic Clinic, PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Private Diagnostic Clinic, PLLC was last updated on May 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.