Private Diagnostic Clinic, PLLC
NPI 1215259858ActiveOrganization· Internal Medicine, Cardiovascular Disease· Fayetteville, NC
Internal Medicine, Cardiovascular Disease in Fayetteville, North Carolina, registered in NPPES in February 2010. The authorized official on file is Christopher Thomas Frederick, Cfo.
Overview
| NPI | 1215259858 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 24, 2010 |
| Last updated in NPPES | May 15, 2022 |
| Certified by provider | May 15, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Cardiovascular Disease Primary | 207RC0000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Internal Medicine, Cardiovascular Disease providers in Fayetteville
- 1831165802
- 1023995222
- 1124450572
- 1154305704
- 1104144914
- 1780064915
- 1144527763
- 1184583072
- 1811961683
- 1407968696
- 1487829859
- 1760456537
All Internal Medicine, Cardiovascular Disease providers in North Carolina →