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CAROLINA WOMEN'S HEALTH
NPI 1306116611
Obstetrics & Gynecology - Gynecology in Raleigh, NC

Active since January 03, 2012CLIA 34D1030156 · Microscopy
3404 WAKE FOREST RD, SUITE 200, RALEIGH, NC 27609(919) 235-0097 Get Directions Write a Review

NPPES record last updated: May 15, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Carolina Women's Health NPPES

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

CAROLINA WOMEN'S HEALTH (NPI 1306116611) is a healthcare organization registered as a gynecology in Raleigh, North Carolina and active in the NPI registry since January 2012. The organization holds a CLIA Microscopy certificate valid through August 29, 2027 and lists Christopher Thomas Frederick, Cfo, as its authorized official.

NPPES Registry Identity

NPI1306116611
Entity TypeOrganization
Primary Taxonomy207VG0400X
Legal Business NamePRIVATE DIAGNOSTIC CLINIC, PLLC
Location Address3404 WAKE FOREST RD, SUITE 200Raleigh, NC 27609-7340
Mailing AddressPo Box 110566Durham, NC 27709-5566 · (919) 620-4855 · Fax (919) 620-4921
Phone(919) 235-0097
Organization SubpartNo
Authorized OfficialChristopher Thomas FrederickCfo · (919) 613-7762
Enumeration DateJanuary 3, 2012
Last NPPES UpdateMay 15, 2022
NPPES CertifiedMay 15, 2022
✔ NPI 1306116611 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207VG0400X
Definition
A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee
3404 WAKE FOREST RD, Raleigh, NC 27609
Open in Google Maps ↗

Other Names 1

Doing Business AsCarolina Women's Health

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

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 for Provider-Performed Microscopy Procedures (PPMP) 34D1030156

Carolina Women's Health PA · Raleigh, NC
Active · expires Aug 29, 2027
CLIA Number34D1030156
Laboratory TypePhysician Office
Certificate Effective DateAugust 30, 2025
Certificate Expiration DateAugust 29, 2027
Laboratory DirectorJ Stewart Carr
Laboratory Phone(919) 235-0097
Laboratory LocationCarolina Women's Health PA10931 Raven Ridge Road, Suite 113, Raleigh, NC 27614
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 20

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

CASEY JOHNSON MS OTRL
Occupational Therapist (Hand)
3404 WAKE FOREST RD, SUITE 303
RALEIGH, NC 27609
Wake County (919) 872-3171
WINDSOR AUSTIN HOLT MD
Obstetrics & Gynecology
3404 WAKE FOREST RD, SUITE 100
RALEIGH, NC 27609
Wake County (919) 876-8225
MELISSA JO PETERSON NP-BC
Nurse Practitioner (Family)
3404 WAKE FOREST RD
RALEIGH, NC 27609
Wake County (919) 862-5400
MRS. MEGAN KATHLEEN BLACK MSN, APRN, AGNP-C
Nurse Practitioner
3404 WAKE FOREST RD
RALEIGH, NC 27609
Wake County (919) 862-5402
SOUTHEASTERN ORTHOPEDICS SPORTS MEDICINE & SHOULDER CENTER PA
Clinic/Center (Multi-Specialty)
3404 WAKE FOREST RD, STE 201
RALEIGH, NC 27609
Wake County (919) 256-1511
DR. MICHAEL DAVID SPIRITOS M.D.
Internal Medicine (Hematology & Oncology)
3404 WAKE FOREST RD, SUITE 202
RALEIGH, NC 27609
Wake County (919) 954-3050
PRIVATE DIAGNOSTIC CLINIC, PLLC
Internal Medicine (Hematology & Oncology)
3404 WAKE FOREST RD, SUITE 100
RALEIGH, NC 27609
Wake County (919) 954-3050
PRIVATE DIAGNOSTIC CLINIC, PLLC
Surgery (Surgical Oncology)
3404 WAKE FOREST RD, SUITE 101
RALEIGH, NC 27609
Wake County (919) 954-3050

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 1306116611. It was assigned to this organization in the NPPES registry on January 3, 2012. The provider is doing business as Carolina Women's Health.

Where is Private Diagnostic Clinic, PLLC located?

Private Diagnostic Clinic, PLLC is located at 3404 Wake Forest Rd Suite 200, Raleigh, NC 27609. The listed phone number is (919) 235-0097.

What is Private Diagnostic Clinic, PLLC's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecology, with taxonomy code 207VG0400X.

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

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 34D1030156) is associated with this NPI, valid through August 29, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

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 with the weekly NPPES data releases published by CMS.