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COMPREHENSIVE PEDIATRIC AND FAMILY CLINIC
NPI 1083436505
Family Medicine in Memphis, TN

Active since October 28, 2024CLIA 44D2317209 · Waiver
1028 CRESTHAVEN RD STE 100, MEMPHIS, TN 38119(901) 249-7490 Get Directions Write a Review

NPPES record last updated: September 9, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 9, 2025, May 13, 2025 (2 updates tracked since 2025).

About Comprehensive Pediatric And Family Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COMPREHENSIVE PEDIATRIC AND FAMILY CLINIC (NPI 1083436505) is a healthcare organization registered as a family medicine in Memphis, Tennessee and active in the NPI registry since October 2024. The organization holds a CLIA Waiver certificate valid through January 20, 2027 and lists Stella Nwokeji, Medical Director/owner, as its authorized official.

NPPES Registry Identity

NPI1083436505
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCOMPREHENSIVE PEDIATRIC AND FAMILY CLINIC
Location Address1028 CRESTHAVEN RD STE 100Memphis, TN 38119-3895
Mailing Address1028 Cresthaven Rd Ste 100Memphis, TN 38119-3895 · (901) 249-7490
Phone(901) 249-7490
Organization SubpartNo
Authorized OfficialStella NwokejiMedical Director/owner · (901) 826-4622
Enumeration DateOctober 28, 2024
Last NPPES UpdateSeptember 9, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 9, 2025
✔ NPI 1083436505 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1028 CRESTHAVEN RD STE 100, Memphis, TN 38119
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 44D2317209

Comprehensive Pediatric And Family Clinic · Memphis, TN
Active · expires Jan 20, 2027
CLIA Number44D2317209
Laboratory TypePhysician Office
Certificate Effective DateJanuary 21, 2025
Certificate Expiration DateJanuary 20, 2027
Laboratory DirectorStella E. Nwokeji
Laboratory Phone(901) 249-7490
Laboratory LocationComprehensive Pediatric And Family Clinic1028 Cresthaven Road, Suite 100, Memphis, TN 38119
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Comprehensive Pediatric And Family Clinic's NPI number?

The NPI number for Comprehensive Pediatric And Family Clinic is 1083436505. It was assigned to this organization in the NPPES registry on October 28, 2024.

Where is Comprehensive Pediatric And Family Clinic located?

Comprehensive Pediatric And Family Clinic is located at 1028 Cresthaven Rd Ste 100, Memphis, TN 38119. The listed phone number is (901) 249-7490.

What is Comprehensive Pediatric And Family Clinic's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Comprehensive Pediatric And Family Clinic hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D2317209) is associated with this NPI, valid through January 20, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Comprehensive Pediatric And Family Clinic was last updated on September 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.