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WOLFCHASE FAMILY MEDICAL CARE, PLLC
NPI 1972804110
Clinic/Center - Primary Care in Memphis, TN

Active since November 04, 2010CLIA 44D1015497 · Microscopy
8485 US HIGHWAY 64 STE 101, MEMPHIS, TN 38133(901) 377-3001(901) 377-3130 Get Directions Write a Review

NPPES record last updated: November 4, 2010. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Wolfchase Family Medical Care, Pllc NPPES

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

WOLFCHASE FAMILY MEDICAL CARE, PLLC (NPI 1972804110) is a healthcare organization registered as a primary care in Memphis, Tennessee and active in the NPI registry since November 2010. The organization holds a CLIA Microscopy certificate valid through July 31, 2027 and lists John R Wickman, Owner, as its authorized official.

NPPES Registry Identity

NPI1972804110
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameWOLFCHASE FAMILY MEDICAL CARE, PLLC
Location Address8485 US HIGHWAY 64 STE 101Memphis, TN 38133-4102
Mailing Address8485 Us Highway 64 Ste 101Memphis, TN 38133-4102 · (901) 377-3001 · Fax (901) 377-3130
Phone(901) 377-3001
Fax(901) 377-3130
Organization SubpartNo
Authorized OfficialJohn R WickmanOwner · (901) 377-3001
Enumeration DateNovember 4, 2010
✔ NPI 1972804110 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
Licenses✔ Licensed in TN · 22064✔ Licensed in TN · 12858
8485 US HIGHWAY 64 STE 101, Memphis, TN 38133
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Wolfchase Family Medical Care, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Wolfchase Family Medical Care, PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

John Wickman, M.D., MPH
Family Practice
NPI 1871513739
8485 US HIGHWAY 64 101
Memphis, TN 38133
(901) 377-3001
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 for Provider-Performed Microscopy Procedures (PPMP) 44D1015497

Wolfchase Family Medical Care · Memphis, TN
Active · expires Jul 31, 2027
CLIA Number44D1015497
Laboratory TypePhysician Office
Certificate Effective DateAugust 1, 2025
Certificate Expiration DateJuly 31, 2027
Laboratory DirectorJohn R. Wickman MD
Laboratory Phone(901) 377-3001
Laboratory LocationWolfchase Family Medical Care8485 Us Highway 64 Suite 101, Memphis, TN 38133
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform 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 Wolfchase Family Medical Care, PLLC's NPI number?

The NPI number for Wolfchase Family Medical Care, PLLC is 1972804110. It was assigned to this organization in the NPPES registry on November 4, 2010.

Where is Wolfchase Family Medical Care, PLLC located?

Wolfchase Family Medical Care, PLLC is located at 8485 Us Highway 64 Ste 101, Memphis, TN 38133. The listed phone number is (901) 377-3001.

What is Wolfchase Family Medical Care, PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Is Wolfchase Family Medical Care, PLLC enrolled in Medicare?

Yes. Wolfchase Family Medical Care, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Wolfchase Family Medical Care, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Wolfchase Family Medical Care, PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Wolfchase Family Medical Care, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 44D1015497) is associated with this NPI, valid through July 31, 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 Wolfchase Family Medical Care, PLLC was last updated on November 4, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.