Jerry R Wilborn Jr, MD - Medicare Emergency Medicine in Atlanta, GA

Jerry R Wilborn Jr, MD is a medicare enrolled "Emergency Medicine" physician in Atlanta, Georgia. He went to Medical College Of Georgia School Of Medicine and graduated in 1995 and has 29 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Northside Emergency Associates, P.c. and his current practice location is 1000 Johnson Ferry Rd Ne, Atlanta, Georgia. You can reach out to his office (for appointments etc.) via phone at (404) 851-6936.

Jerry R Wilborn Jr is licensed to practice in Georgia (license number 045666) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1629042999.

Contact Information

Jerry R Wilborn Jr, MD
1000 Johnson Ferry Rd Ne,
Atlanta, GA 30342-1606
(404) 851-6936
Not Available

Map and Direction




Physician's Profile

Full NameJerry R Wilborn Jr
GenderMale
SpecialityEmergency Medicine
Experience29 Years
Location1000 Johnson Ferry Rd Ne, Atlanta, Georgia
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jerry R Wilborn Jr attended and graduated from Medical College Of Georgia School Of Medicine in 1995
  NPI Data:
  • NPI Number: 1629042999
  • Provider Enumeration Date: 02/14/2006
  • Last Update Date: 11/12/2008
  Medicare PECOS Information:
  • PECOS PAC ID: 9032268644
  • Enrollment ID: I20090601000049

Medical Identifiers

Medical identifiers for Jerry R Wilborn Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1629042999NPI-NPPES
000792503JMedicaidGA
000792503MedicaidGA
000792503IMedicaidGA
006083OtherGABCBS
10655OtherGAKAISER
00000011837OtherGA1ST MEDICAL NETWORK
10038155OtherGAAMERIGROUP
380007OtherGABCBS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 045666 (Georgia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Northside Hospital ForsythCumming, GAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Northside Emergency Associates, P.c.933513514430

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jerry R Wilborn Jr allows following entities to bill medicare on his behalf.
Entity NameNorthside Emergency Associates, P.c.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285686303
PECOS PAC ID: 9335135144
Enrollment ID: O20040426000165

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jerry R Wilborn Jr is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jerry R Wilborn Jr, MD
Po Box 2968,
Kennesaw, GA 30156-9117

Ph: (770) 779-0015
Jerry R Wilborn Jr, MD
1000 Johnson Ferry Rd Ne,
Atlanta, GA 30342-1606

Ph: (404) 851-6936

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.