Organization Active NPI

Comprehensive Pediatric and Family Clinic

  • Family Medicine Physician
  • Memphis, TN
National Provider Identifier
1083436505
Registry record updated Sep 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
COMPREHENSIVE PEDIATRIC AND FAMILY CLINIC
Practice address
1028 Cresthaven Rd Ste 100
Memphis, TN 38119-3895
Phone
(901) 249-7490
NPI assigned
Oct 28, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Stella Nwokeji, PHD, NP-BCNPI 1316119118
Title
Medical Director/Owner
Phone
(901) 826-4622

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1028 Cresthaven Rd Ste 100
Memphis, TN 38119-3895

Mailing address

1028 Cresthaven Rd Ste 100
Memphis, TN 38119-3895
Phone (901) 249-7490

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
44D2317209Comprehensive Pediatric and Family Clinic1028 Cresthaven Road, Suite 100, Memphis, TN 38119Certificate of waiverJan 20, 2027

National Provider Directory

National Provider Directory

Locations

1779 Kirby Pkwy
#172
Germantown, TN 38138

1028 Cresthaven Rd
Memphis, TN 38119
Phone (901) 378-0183

1028 Cresthaven Rd
Ste 100
Memphis, TN 38119
Phone (901) 249-7490

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1730073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757376000000",
    "number": "1083436505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1028 CRESTHAVEN RD STE 100",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381193895",
            "telephone_number": "901-249-7490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1028 CRESTHAVEN RD STE 100",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381193895",
            "telephone_number": "901-249-7490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE PEDIATRIC AND FAMILY CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-28",
        "last_updated": "2025-09-09",
        "certification_date": "2025-09-09",
        "status": "A",
        "authorized_official_last_name": "NWOKEJI",
        "authorized_official_first_name": "STELLA",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR/OWNER",
        "authorized_official_telephone_number": "901-826-4622",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, NP-BC"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.