MR. GREGORY WILKERSON (AGACNP-BC) – Nurse Practitioner, NPI 1053950246

MR. GREGORY WILKERSON (AGACNP-BC) is a healthcare provider. based in Braselton, Georgia. specializing in NURSE PRACTITIONER. They hold the professional credentials AGACNP-BC. They hold a License No. RN219542 (GA). The NPI Number for MR. GREGORY WILKERSON (AGACNP-BC) is 1053950246

Main info

Male
Sole Proprietor
6 Years Of Experience
Name
MR. GREGORY WILKERSON (AGACNP-BC)
NPI
1053950246
Phone
(770) 534-2020
Address
1400 river pl
Enumeration Date
5 January 2020
Last Update Date
5 February 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7087131904
Graduation Year
2020 (6 years ago)
PAC ID
2860806940
Group Practice PAC ID
3476085747
Professional Enrollment ID
I20210201002445
Address ID
GA306426476GR1070XRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness85
Years active:6State licenses:1Digital endpointsOther names

9,652 NURSE PRACTITIONER in GA

Provider Addresses for MR. GREGORY WILKERSON (AGACNP-BC)

  • 1400 river pl

    Braselton, GA 305175600

    Phone: (770) 534-2020

    Type: Location

  • 5673 Peachtree Dunwoody

    Atlanta, GA 303421731

    Phone: (404) 251-2400

    Type: Location

  • 1269 NATHAN MAULDIN DR

    LAWRENCEVILLE, GA 300437249

    Phone: (678) 468-8672

    Type: Mailing

  • 595 HURRICANE SHOALS RD NW

    LAWRENCEVILLE, GA 300468761

    Phone: (770) 995-7802

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-02-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210201002445INurse PractitionerGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes288172$0
99221Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes10498$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes7675$0
View full utilization report →

Insurance plans in this area (ZIP 30517)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3476085747View full group profile
NameSpecialtyState
Nurse PractitionerGA
Nurse PractitionerGA
Nurse PractitionerGA
Nurse PractitionerGA
Nurse PractitionerGA

Reviews

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Frequently asked questions

What is the 10-digit NPI for MR. GREGORY WILKERSON (AGACNP-BC)?
MR. GREGORY WILKERSON (AGACNP-BC) — NPI 1053950246 — is the standard way to identify this listing.
Does CMS list MR. GREGORY WILKERSON (AGACNP-BC) as active?
Yes — MR. GREGORY WILKERSON (AGACNP-BC) is active in the NPI listing used on this page.
What taxonomy line describes MR. GREGORY WILKERSON (AGACNP-BC)?
For research purposes, treat MR. GREGORY WILKERSON (AGACNP-BC) as Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
Where is MR. GREGORY WILKERSON (AGACNP-BC) based?
MR. GREGORY WILKERSON (AGACNP-BC) is tied to Braselton, Georgia in the data we show; additional addresses may exist on the full record.
Why does MR. GREGORY WILKERSON (AGACNP-BC) have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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