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

Private Diagnostic Clinic, PLLC

Organization Sports Medicine (Family Medicine) Physician · NPI 1861741233

Private Diagnostic Clinic, PLLC is a Sports Medicine (Family Medicine) Physician in Holly Springs, North Carolina. Registered with an NPI since 2012.

In the registry since
2012
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

190 Rosewood Centre Dr Ste 100
Holly Springs, NC 27540-7628
Phone: (919) 238-2000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Family Medicine) Physician (primary) Taxonomy 207QS0010X

Record details

NPI number1861741233
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Christopher Frederick — Cfo · (919) 613-7762
Other names Carolina Family Practice & Sports Medicine-Holly Springs; Carolina Family Practice & Sports Medicine-Holly Springs
NPI enumeratedAugust 31, 2012
Last updated in NPPESJuly 11, 2022
Certification dateJuly 11, 2022
Mailing addressPo Box 110566, Durham, NC 27709-5566