Jerry R Wilborn Jr, MD | |
1000 Johnson Ferry Rd Ne, Atlanta, GA 30342-1606 | |
(404) 851-6936 | |
Not Available |
Full Name | Jerry R Wilborn Jr |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Experience | 29 Years |
Location | 1000 Johnson Ferry Rd Ne, Atlanta, Georgia |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1629042999 | NPI | - | NPPES |
000792503J | Medicaid | GA | |
000792503 | Medicaid | GA | |
000792503I | Medicaid | GA | |
006083 | Other | GA | BCBS |
10655 | Other | GA | KAISER |
00000011837 | Other | GA | 1ST MEDICAL NETWORK |
10038155 | Other | GA | AMERIGROUP |
380007 | Other | GA | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 045666 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Northside Hospital Forsyth | Cumming, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Northside Emergency Associates, P.c. | 9335135144 | 30 |
Entity Name | Northside Emergency Associates, P.c. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285686303 PECOS PAC ID: 9335135144 Enrollment ID: O20040426000165 |
Mailing Address | Practice 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 |
Dr. Benjamin Aaron Levy, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 5665 New Northside Dr Nw, Suite 200, Atlanta, GA 30328 Phone: 770-874-5400 | |
Essi I Peers, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5665 New Northside Dr Ste 200, Atlanta, GA 30328 Phone: 770-874-5400 | |
Michael Franczak, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 95 Collier Rd Nw Ste 5015, Atlanta, GA 30309 Phone: 404-605-6517 | |
Dr. Alexander William Kelly, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1968 Peachtree Rd Nw, Atlanta, GA 30309 Phone: 404-605-5000 | |
Prince N Martin, Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 5665 Peachtree Dunwoody Rd, Atlanta, GA 30342 Phone: 678-843-7001 | |
Melissa H White, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 80 Jesse Hill Jr Dr Se, Atlanta, GA 30303 Phone: 404-616-4307 Fax: 404-616-8022 | |
John H Lloyd, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1358 Middlesex Ave Ne, Atlanta, GA 30306 Phone: 404-944-7563 |