DUKE CHILDREN'S CARDIOLOGY OF FAYETTEVILLE
NPI 1215259858
Internal Medicine - Cardiovascular Disease in Fayetteville, NC

Active since February 24, 2010
1991 FORDHAM DR, SUITE 200, FAYETTEVILLE, NC 28304(910) 323-5940(910) 323-9746 Get Directions Write a Review

NPPES record last updated: May 15, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Duke Children's Cardiology Of Fayetteville NPPES

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

DUKE CHILDREN'S CARDIOLOGY OF FAYETTEVILLE (NPI 1215259858) is a healthcare organization registered as a cardiovascular disease in Fayetteville, North Carolina and active in the NPI registry since February 2010. The organization lists Christopher Thomas Frederick, Cfo, as its authorized official.

NPPES Registry Identity

NPI1215259858
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NamePRIVATE DIAGNOSTIC CLINIC, PLLC
Location Address1991 FORDHAM DR, SUITE 200Fayetteville, NC 28304-3650
Mailing AddressPo Box 110566Durham, NC 27709-5566 · (919) 620-4855 · Fax (919) 620-4921
Fax(910) 323-9746
Organization SubpartNo
Authorized OfficialChristopher Thomas FrederickCfo · (919) 613-7762
Enumeration DateFebruary 24, 2010
Last NPPES UpdateMay 15, 2022
NPPES CertifiedMay 15, 2022
NPI 1215259858 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
1991 FORDHAM DR, Fayetteville, NC 28304

Other Names 1

Doing Business AsDuke Children's Cardiology Of Fayetteville

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location NPPES 19

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

Physical Therapist
1991 FORDHAM DR, SUITE 102
FAYETTEVILLE, NC 28304
Nurse Practitioner (Family)
1991 FORDHAM DR
FAYETTEVILLE, NC 28304
Occupational Therapist
1991 FORDHAM DR
FAYETTEVILLE, NC 28304
Physical Therapist
1991 FORDHAM DR
FAYETTEVILLE, NC 28304
Physician Assistant (Medical)
1991 FORDHAM DR
FAYETTEVILLE, NC 28304
Ophthalmology
1991 FORDHAM DR, SUITE 301
FAYETTEVILLE, NC 28304
Physical Therapist
1991 FORDHAM DR, SUITE 102
FAYETTEVILLE, NC 28304
Obstetrics & Gynecology (Maternal & Fetal Medicine)
1991 FORDHAM DR
FAYETTEVILLE, NC 28304

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 1215259858. It was assigned to this organization in the NPPES registry on February 24, 2010. The provider is doing business as Duke Children's Cardiology Of Fayetteville.

Where is Private Diagnostic Clinic, PLLC located?

Private Diagnostic Clinic, PLLC is located at 1991 Fordham Dr Suite 200, Fayetteville, NC 28304. The listed phone number is (910) 323-5940.

What is Private Diagnostic Clinic, PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

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 15, 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.