PERISCO WOFFORD MD PLLC
NPI 1447678776
Clinic/Center in Memphis, TN

Active since April 03, 2014CLIA 44D0313862 · Waiver
4567 MILLBRANCH RD, MEMPHIS, TN 38116(901) 345-1454(901) 345-1456 Get Directions Write a Review

NPPES record last updated: April 3, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Perisco Wofford Md Pllc NPPES

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

PERISCO WOFFORD MD PLLC (NPI 1447678776) is a healthcare organization registered as a clinic/center in Memphis, Tennessee and active in the NPI registry since April 2014. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Perisco Wofford, Owner, as its authorized official.

NPPES Registry Identity

NPI1447678776
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NamePERISCO WOFFORD MD PLLC
Location Address4567 MILLBRANCH RDMemphis, TN 38116-7437
Mailing Address4567 Millbranch RdMemphis, TN 38116-7437 · (901) 345-1454 · Fax (901) 345-1456
Fax(901) 345-1456
Organization SubpartNo
Authorized OfficialPerisco WoffordOwner · (901) 345-1454
Enumeration DateApril 3, 2014
NPI 1447678776 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License Licensed in TN · MD0000037436
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
4567 MILLBRANCH RD, Memphis, TN 38116

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 44D0313862

Perisco Wofford MD Medical Doctor · Memphis, TN
Active · expires Aug 31, 2026
CLIA Number44D0313862
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorDr. Perisco Wofford MD
Laboratory Phone(901) 345-1454
Laboratory LocationPerisco Wofford MD Medical Doctor4567 Millbranch Rd, Memphis, TN 38116
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Cardiovascular Disease)
4567 MILLBRANCH RD
MEMPHIS, TN 38116
Internal Medicine
4567 MILLBRANCH RD
MEMPHIS, TN 38116

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 Perisco Wofford MD PLLC's NPI number?

The NPI number for Perisco Wofford MD PLLC is 1447678776. It was assigned to this organization in the NPPES registry on April 3, 2014.

Where is Perisco Wofford MD PLLC located?

Perisco Wofford MD PLLC is located at 4567 Millbranch Rd, Memphis, TN 38116. The listed phone number is (901) 345-1454.

What is Perisco Wofford MD PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Does Perisco Wofford MD PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D0313862) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Perisco Wofford MD PLLC was last updated on April 3, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years 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.