OrganizationActive
Private Diagnostic Clinic, PLLC
NPI 1164799979 · Surgery Physician · Durham, NC
Private Diagnostic Clinic, PLLC is a Surgery Physician organization in Durham, NC (NPI 1164799979).
Provider details
- NPI number
- 1164799979
- Entity type
- Organization
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Christopher Frederick, Cfo(919) 613-7762
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 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
3901 N Roxboro St
Suite 101
Durham, NC 27704-2181
Phone: (919) 479-4120
Fax: (919) 479-4237
Street-level locationGet directions
Mailing address
Po Box 110566
Durham, NC 27709-5566
Other names (DBA / former)
- Doing business as
- Regional Neurosurgery
- Doing business as
- Regional Neurosurgery
Registry dates
- Enumerated
- 2011-11-22
- 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 1164799979, 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 Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Private Diagnostic Clinic, PLLC located?
- Private Diagnostic Clinic, PLLC's practice location on file with NPPES is 3901 N Roxboro St, Durham, NC 27704-2181.
- 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) 479-4120.
- Who is the authorized official for Private Diagnostic Clinic, PLLC?
- The authorized official listed on Private Diagnostic Clinic, PLLC's NPPES record is Christopher Frederick, Cfo. 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 (1164799979) 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.