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 provides Sports Medicine (Family Medicine) Physician services 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