Vital Wound and Foot Care LLC

Primary specialty

PodiatristTaxonomy code 213E00000X

Legal business name

VITAL WOUND AND FOOT CARE LLC

Practice address

607 W Due West Ave Ste 113
Madison, TN 37115-4428

Phone

(901) 791-1711

NPI assigned

May 5, 2025

Organization subpart

No

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

Authorized official

Name

Teka Rolfe

Title

Manager

Phone

(919) 223-8208

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Practitioners 4

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

• Thomas J Caruthers Jr., MD

  • Obstetrics & Gynecology Physician
  • Bolivar, TN
  • NPI 1730138355
  Medicare reassignment NPD
• Omar Rashad Davis, M.D.

  • Nephrology Physician
  • Memphis, TN
  • NPI 1588767826
  Medicare reassignment NPD
• Antonio Lavale Knowles, DPM

  • Podiatrist
  • Memphis, TN
  • NPI 1124188511
  Medicare reassignment NPD
• Miranda D White, APRN

  • Nurse Practitioner
  • Memphis, TN
  • NPI 1427568260
  Medicare reassignment NPD

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

{
    "created_epoch": "1746403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755216000000",
    "number": "1326837477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 W DUE WEST AVE STE 113",
            "city": "MADISON",
            "state": "TN",
            "postal_code": "371154428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 W DUE WEST AVE STE 113",
            "city": "MADISON",
            "state": "TN",
            "postal_code": "371154428",
            "telephone_number": "901-791-1711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITAL WOUND AND FOOT CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-05",
        "last_updated": "2025-08-15",
        "certification_date": "2025-08-15",
        "status": "A",
        "authorized_official_last_name": "ROLFE",
        "authorized_official_first_name": "TEKA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "919-223-8208"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Derrick Varney, PTA
• Stephanie W Vaughn, FNP
• Morgan Elizabeth Verrill, RN
• Jason Lee Villanueva, CRNA
• Phyllis Holt Viltz, SPE
• Vivian Tuong Vo
• W. Clark Higgs, D.D.S.
• Linda Marie Wade, FNP
• Qadria Wade
• Audrey Anne Wagner, MD

• Podiatrist in Madison, TN
• Providers in Madison, TN by specialty
• Podiatrist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.