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DUKE SPECIALTY BUTNER-CREEDMOOR
NPI 1811206527
Internal Medicine - Cardiovascular Disease in Creedmoor, NC

Active since September 29, 2010
2503 E LYON STATION RD, SUITE 200, CREEDMOOR, NC 27522(919) 528-1535 Get Directions Write a Review

NPPES record last updated: July 11, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Duke Specialty Butner-creedmoor NPPES

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

DUKE SPECIALTY BUTNER-CREEDMOOR (NPI 1811206527) is a healthcare organization registered as a cardiovascular disease in Creedmoor, North Carolina and active in the NPI registry since September 2010. The organization lists Christopher Thomas Frederick, Cfo, as its authorized official.

NPPES Registry Identity

NPI1811206527
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NamePRIVATE DIAGNOSTIC CLINIC, PLLC
Location Address2503 E LYON STATION RD, SUITE 200Creedmoor, NC 27522-9112
Mailing AddressPo Box 110566Durham, NC 27709-5566 · (919) 620-4855 · Fax (919) 620-4921
Phone(919) 528-1535
Organization SubpartNo
Authorized OfficialChristopher Thomas FrederickCfo · (919) 613-7762
Enumeration DateSeptember 29, 2010
Last NPPES UpdateJuly 11, 2022
NPPES CertifiedJuly 11, 2022
✔ NPI 1811206527 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.
2503 E LYON STATION RD, Creedmoor, NC 27522
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Other Names 1

Doing Business AsDuke Specialty Butner-creedmoor

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

Other Providers at the Same Location NPPES 9

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

ALYSSA KRUEGER DO
Family Medicine
2503 E LYON STATION RD
CREEDMOOR, NC 27522
Granville County (919) 528-1535
KAITLYN ANN COYLE
Nurse Practitioner (Primary Care)
2503 E LYON STATION RD
CREEDMOOR, NC 27522
Granville County (919) 528-1535
JANELLE LYNN LOPEZ-WRIGHT PA-C
Family Medicine
2503 E LYON STATION RD
CREEDMOOR, NC 27522
Granville County (919) 528-1535
MR. MORGAN BRADFORD SMITH FNP-C
Family Medicine
2503 E LYON STATION RD
CREEDMOOR, NC 27522
Granville County (919) 328-2581
LAUREN RAE STILL FNP
Nurse Practitioner
2503 E LYON STATION RD
CREEDMOOR, NC 27522
Granville County (919) 528-1535
CHRISTINA O BECK M.D.
Student in an Organized Health Care Education/Training Program
2503 E LYON STATION RD
CREEDMOOR, NC 27522
Granville County (919) 528-1535
GRETCHEN IROHA FNP-C
Nurse Practitioner (Family)
2503 E LYON STATION RD
CREEDMOOR, NC 27522
Granville County (919) 528-1535
CHRISTOPHER WAYNE OLIVER PA
Physician Assistant
2503 E LYON STATION RD
CREEDMOOR, NC 27522
Granville County (919) 528-1535

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 1811206527. It was assigned to this organization in the NPPES registry on September 29, 2010. The provider is doing business as Duke Specialty Butner-Creedmoor.

Where is Private Diagnostic Clinic, PLLC located?

Private Diagnostic Clinic, PLLC is located at 2503 E Lyon Station Rd Suite 200, Creedmoor, NC 27522. The listed phone number is (919) 528-1535.

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.

When was this NPI record last updated?

The NPPES record for Private Diagnostic Clinic, PLLC was last updated on July 11, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.