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

NPI Status: Active since March 13, 2013

Contact Information

101 MEDICAL PARK DR
MEBANE, NC
ZIP 27302
Phone: (919) 563-2500

Get Directions Write a Review

  • Organization
  • Obstetrics & Gynecology
  • Accepts Insurance
  • CLIA Number: 34D0866525
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 05-30-2027

About KERNODLE CLINIC-MEBANE

This page provides the complete NPI Profile along with additional information for Kernodle Clinic-mebane, a women's health care provider established in Mebane, North Carolina operating as a Obstetrics & Gynecology. The healthcare provider is registered in the NPI registry with number 1063753283 assigned on March 2013. The practitioner's primary taxonomy code is 207V00000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. Kernodle Clinic-mebane operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Kernodle Clinic-mebane. The authorized official of this NPI record is Paul R Newman (Executive Director, Pdc)

NPI
1063753283
Provider Legal Name
PRIVATE DIAGNOSTIC CLINIC, PLLC
Other Organization Name
KERNODLE CLINIC-MEBANE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
101 MEDICAL PARK DR MEBANE, NC 27302
Location Phone
(919) 563-2500
Mailing Address
PO BOX 110566 DURHAM, NC 27709
Mailing Phone
(919) 620-4855
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-13-2013
Last Update Date
05-13-2022
Code Navigator

Women's health care providers like Kernodle Clinic-mebane treat and diagnose diseases and conditions that affect a woman's physical and emotional health. Women's health professionals come from a variety of different specialties, including obstetrician/gynecologists, general surgeons, perinatologists, physician assistants, nurse practitioners or nurse midwives. A women's health provider might help you with family planning, breast care, pregnancy and child birth, osteoporosis, menopause, heart disease, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Obstetrics & Gynecology

Taxonomy Code
207V00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207RE0101XAllopathic & Osteopathic Physicians

Internal Medicine
Endocrinology, Diabetes & Metabolism

 
2207RG0100XAllopathic & Osteopathic Physicians

Internal Medicine
Gastroenterology

 
3207RS0010XAllopathic & Osteopathic Physicians

Internal Medicine
Sports Medicine

 
4207X00000XAllopathic & Osteopathic Physicians

Orthopaedic Surgery

 
5213E00000XPodiatric Medicine & Surgery Service Providers

Podiatrist

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Standard Expanded Bronze - HMO
  • Standard Gold - HMO
  • Standard Silver - HMO
  • Standard Silver + Vision + Adult Dental - HMO
  • Clear Silver with $0 Insulin Options - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete Gold with Atrium Health - HMO
  • Complete Gold with Atrium Health + Vision + Adult Dental - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Elite Bronze with Atrium Health - HMO
  • Elite Bronze with Atrium Health + Vision + Adult Dental - HMO
  • Enhanced Asthma/COPD Care Silver with $0 Drug Options - HMO
  • Enhanced Asthma/COPD Care Silver with $0 Drug Options + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Everyday Bronze with Atrium Health - HMO
  • Everyday Bronze with Atrium Health + Vision + Adult Dental - HMO
  • Focused Silver with Atrium Health - HMO
  • Focused Silver with Atrium Health + Vision + Adult Dental - HMO
  • Standard Expanded Bronze - HMO
  • Standard Expanded Bronze + Vision + Adult Dental - HMO
  • Standard Expanded Bronze with Atrium Health - HMO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Gold - EPO
  • Elite Gold + Vision + Adult Dental - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • Everyday Gold + Vision + Adult Dental - EPO
  • Standard Expanded Bronze - EPO
  • Standard Expanded Bronze + Vision + Adult Dental - EPO
  • Standard Gold - EPO
  • Standard Gold + Vision + Adult Dental - EPO
  • Standard Silver - EPO
  • Standard Silver + Vision + Adult Dental - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

PAUL R NEWMAN

Authorized Official Title
EXECUTIVE DIRECTOR, PDC
Authorized Official Phone
(919) 613-7652

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
34D0866525
Facility Type
Physician Office
Certificate Effective Date
May 31, 2025
Certificate Expiration Date
May 30, 2027
Laboratory Director
DR. ALYSSA M. KRAYNIE
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to Kernodle Clinic-mebane on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.

Reviews for KERNODLE CLINIC-MEBANE

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1063753283, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
3
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
5
Unchanged
Pos 7
3
Doubled → 6
Pos 8
2
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
3
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 7 → 14 → 5 3 → 6 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 1 + 2 + 3 + 1 + 4 + 5 + 6 + 2 + 1 + 6 + 24 = 57

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 57 is 60. The difference is the calculated check digit.

60 - 57 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1063753283.

Other Providers at the Same Location


The following 7 providers are registered at the same or a nearby location.

Ophthalmology
101 MEDICAL PARK DR
MEBANE, NC 27302
Nurse Practitioner
101 MEDICAL PARK DR
MEBANE, NC 27302
Nurse Practitioner
101 MEDICAL PARK DR
MEBANE, NC 27302
Family Medicine
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

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1063753283, enumerated as an "organization" on March 13, 2013.

The provider is located at 101 MEDICAL PARK DR MEBANE, NC 27302 and the phone number is (919) 563-2500.

Obstetrics & Gynecology with taxonomy code 207V00000X.

The provider might be accepting Accepts: Ambetter from Absolute Total Care, Ambetter of. Please consult your insurance carrier or call the provider to verify.