JERRY R JR. WILBORN (MD) – Emergency Medicine Physician, NPI 1629042999
Emergency Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,514 EMERGENCY MEDICINE in GA
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Provider Addresses for JERRY R JR. WILBORN (MD)
McDonald's, 1000, Johnson Ferry Road Northeast, Ridgeview Forest, Atlanta, Fulton County, Georgia, 30346, United States
ATLANTA, GA 303421606
Phone: (404) 851-6936
Type: Location
PO BOX 2968
KENNESAW, GA 301569117
Phone: (770) 779-0015
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $247.
Total Amount is formed as General ($247) + Research ($0) + Ownership ($0) = $247.
Last reported payment date: 2024-08-07 • Largest payer in this snapshot: ABBVIE INC. ($135).
Total Amount
$247
General + Research + Ownership
Payments
6
Total payment records
General Amount
$247
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-07
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $135 |
| Fisher & Paykel Healthcare Inc | $78 |
| Medtronic, Inc. | $34 |
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: 2009-06-01
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20090601000049 | I | Emergency Medicine | GA | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99285 | Emergency department visit with high level of medical decision making | 211 | 209 | $0 |
| 99284 | Emergency department visit with moderate level of medical decision making | 135 | 133 | $0 |
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 65 | 63 | $0 |
| 99291 | Critical care, first 30-74 minutes | 32 | 31 | $0 |
| 99283 | Emergency department visit with low level of medical decision making | 12 | 12 | $0 |
Insurance plans in this area (ZIP 30342)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | GA | |
| Emergency Medicine | GA | |
| Emergency Medicine | GA | |
| Emergency Medicine | KY | |
| Emergency Medicine | GA | |
| Emergency Medicine | GA | |
| Emergency Medicine | AL | |
| Nurse Practitioner | GA | |
| - | GA | |
| Emergency Medicine | GA |
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