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Organization

Private Diagnostic Clinic, PLLC

NPI Record: ActiveObstetrics & Gynecology
NPI1063753283
Mebane, North Carolina

Provider's NPPES record last updated: May 13, 2022

Overview

Entity Type
Organization
NPI
1063753283
Primary Specialty
Obstetrics & Gynecology
Practice Location
Mebane, North Carolina
Organization Subpart
No

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 20, 2026, 1:00 PM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Obstetrics & Gynecology

    Allopathic & Osteopathic Physicians

    Primary

    An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

    Taxonomy code 207V00000X
  • Internal Medicine

    Endocrinology, Diabetes & Metabolism

    Allopathic & Osteopathic Physicians

    An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

    Taxonomy code 207RE0101X
  • Internal Medicine

    Gastroenterology

    Allopathic & Osteopathic Physicians

    An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

    Taxonomy code 207RG0100X
  • Internal Medicine

    Sports Medicine

    Allopathic & Osteopathic Physicians

    An internist trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the healthcare of the individual.

    Taxonomy code 207RS0010X
  • Orthopaedic Surgery

    Allopathic & Osteopathic Physicians

    An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

    Taxonomy code 207X00000X
  • Podiatrist

    Podiatric Medicine & Surgery Service Providers

    A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

    Taxonomy code 213E00000X

Practice Locations

Practice Location

101 Medical Park Dr

Mebane, North Carolina 27302-7639

Phone: (919) 563-2500

Other Names

  • Kernodle Clinic-MebaneReported February 22, 2022
  • Kernodle Clinic-MebaneReported March 13, 2013

Record Information

Enumeration Date
March 13, 2013
Provider's NPPES Record Last Updated
May 13, 2022
Certification Date
May 13, 2022
NPISignal NPPES Dataset
August 2026

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