Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Private Diagnostic Clinic, PLLC

Organization Sports Medicine (Orthopaedic Surgery) Physician · NPI 1770224875

Private Diagnostic Clinic, PLLC is a Sports Medicine (Orthopaedic Surgery) Physician in Cary, North Carolina. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
2
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

100 Duke Health Cary Pl Ste 120
Cary, NC 27519
Phone: (919) 385-8120
Fax: (919) 385-9500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Orthopaedic Surgery) Physician (primary) Taxonomy 207XX0005X
Prosthetic/Orthotic Supplier Taxonomy 335E00000X

Record details

NPI number1770224875
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationPrivate Diagnostic Clinic, PLLC
Authorized official Christopher Frederick — Cfo · (919) 613-7762
Other names Duke Sports Medicine Green Level; Duke Sports Medicine Green Level
NPI enumeratedApril 5, 2022
Last updated in NPPESMay 17, 2022
Certification dateMay 17, 2022
Mailing addressPo Box 110566, Durham, NC 27709-5566

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