Private Diagnostic Clinic, PLLC
NPI 1063753283 · Obstetrics & Gynecology Physician · Mebane, NC
Private Diagnostic Clinic, PLLC is a Obstetrics & Gynecology Physician organization in Mebane, NC (NPI 1063753283).
Provider details
- NPI number
- 1063753283
- Entity type
- Organization
- Primary specialty
- Obstetrics & Gynecology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Paul Newman, Executive Director, Pdc(919) 613-7652
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
- Gastroenterology Physician207RG0100X
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
- Orthopaedic Surgery Physician207X00000X
Allopathic & Osteopathic Physicians
- Podiatrist213E00000X
Podiatric Medicine & Surgery Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Kernodle Clinic-Mebane
- Doing business as
- Kernodle Clinic-Mebane
Registry dates
- Enumerated
- 2013-03-13
- Last updated
- 2022-05-13
- Certified
- 2022-05-13
Frequently asked questions
- What is Private Diagnostic Clinic, PLLC's NPI number?
- Private Diagnostic Clinic, PLLC's National Provider Identifier (NPI) is 1063753283, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Private Diagnostic Clinic, PLLC?
- Private Diagnostic Clinic, PLLC is classified in the NPPES registry as Obstetrics & Gynecology Physician (Allopathic & Osteopathic Physicians).
- Where is Private Diagnostic Clinic, PLLC located?
- Private Diagnostic Clinic, PLLC's practice location on file with NPPES is 101 Medical Park Dr, Mebane, NC 27302-7639.
- What is Private Diagnostic Clinic, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Private Diagnostic Clinic, PLLC is (919) 563-2500.
- Who is the authorized official for Private Diagnostic Clinic, PLLC?
- The authorized official listed on Private Diagnostic Clinic, PLLC's NPPES record is Paul Newman, Executive Director, Pdc. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Private Diagnostic Clinic, PLLC's NPI active?
- Yes — Private Diagnostic Clinic, PLLC's NPI (1063753283) is active in the NPPES registry as of the last update on 2022-05-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.