CAROLINA FAMILY PRACTICE & SPORTS MEDICINE-HOLLY SPRINGS
NPI 1861741233
Family Medicine - Sports Medicine in Holly Springs, NC

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

The NPI number for Private Diagnostic Clinic, PLLC is 1861741233. It was assigned to this organization in the NPPES registry on August 31, 2012. The provider is doing business as Carolina Family Practice & Sports Medicine-Holly Springs.

Q: What is Private Diagnostic Clinic, PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Active since August 31, 2012

190 ROSEWOOD CENTRE DR, STE. 100, HOLLY SPRINGS, NC 27540(919) 238-2000 Get Directions Write a Review

NPPES record last updated: July 11, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Carolina Family Practice & Sports Medicine-holly Springs NPPES

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

CAROLINA FAMILY PRACTICE & SPORTS MEDICINE-HOLLY SPRINGS (NPI 1861741233) is a healthcare organization registered as a sports medicine in Holly Springs, North Carolina and active in the NPI registry since August 2012. The organization lists Christopher Thomas Frederick, Cfo, as its authorized official.

NPPES Registry Identity

NPI1861741233

Entity TypeOrganization

Primary Taxonomy207QS0010X

Legal Business NamePRIVATE DIAGNOSTIC CLINIC, PLLC

Location Address190 ROSEWOOD CENTRE DR, STE. 100Holly Springs, NC 27540-7628

Mailing AddressPo Box 110566Durham, NC 27709-5566 · (919) 620-4855 · Fax (919) 620-4921

Phone(919) 238-2000

Organization SubpartNo

Authorized OfficialChristopher Thomas FrederickCfo · (919) 613-7762

Enumeration DateAugust 31, 2012

Last NPPES UpdateJuly 11, 2022

NPPES CertifiedJuly 11, 2022

✔ NPI 1861741233 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QS0010X

Definition

A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.

190 ROSEWOOD CENTRE DR, Holly Springs, NC 27540

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Other Names 1

Doing Business AsCarolina Family Practice & Sports Medicine-holly Springs

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 6

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

MR. DANIEL JASON FITZGERALD MS, LAT, ATC

Specialist/Technologist (Athletic Trainer)

190 ROSEWOOD CENTRE DR, SUITE 100
HOLLY SPRINGS, NC 27540

Wake County (919) 238-2000

KARINA MORATO MA, LCMHCA

Counselor (Mental Health)

190 ROSEWOOD CENTRE DR
HOLLY SPRINGS, NC 27540

Wake County (919) 851-1527

CHRISTINE A WILZACK PMH-CNS, FNP, PMHNP

Nurse Practitioner (Psychiatric/Mental Health)

190 ROSEWOOD CENTRE DR
HOLLY SPRINGS, NC 27540

Wake County (919) 851-1527

DR. MEREDITH DUCKWORTH TAYLOR DENTIST

Dentist (General Practice)

190 ROSEWOOD CENTRE DR, SUITE #200
HOLLY SPRINGS, NC 27540

Wake County (919) 290-2772

ELENA ALEXANDROVNA KRAMARENKO

Physical Therapist

190 ROSEWOOD CENTRE DR, SUITE 101
HOLLY SPRINGS, NC 27540

Wake County (919) 363-8888

NOVANT MEDICAL GROUP, INC

Family Medicine

190 ROSEWOOD CENTRE DR, SUITE 100
HOLLY SPRINGS, NC 27540

Wake County (919) 238-2000

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 1861741233. It was assigned to this organization in the NPPES registry on August 31, 2012. The provider is doing business as Carolina Family Practice & Sports Medicine-Holly Springs.

Where is Private Diagnostic Clinic, PLLC located?

Private Diagnostic Clinic, PLLC is located at 190 Rosewood Centre Dr Ste. 100, Holly Springs, NC 27540. The listed phone number is (919) 238-2000.

What is Private Diagnostic Clinic, PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

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 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.