Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Well Child of Mississippi LLC

Organization Family Medicine Physician · NPI 1508120387

Well Child of Mississippi LLC provides Family Medicine Physician services in Memphis, Tennessee. Licensed in Tennessee. Registered with an NPI since 2012.

Licensed in
TN
In the registry since
2012
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1785 Nonconnah Blvd Ste 120
Memphis, TN 38132-2112 Not confirmed with CMS for 12 years — call before visiting
Phone: (901) 728-5858
Fax: (901) 274-5858
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X
Family Medicine Physician Taxonomy 207Q00000X · Licence 13712 (TN)

Record details

NPI number1508120387
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationWci Management Services LLC
Authorized official Karen Pease — Ceo · (901) 728-5858
NPI enumeratedJune 27, 2012
Last updated in NPPESAugust 25, 2014
Mailing address1785 Nonconnah Blvd Ste 120, Memphis, TN 38132-2112

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