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SAMANTHA ANTHONETTE WILKERSON FNP
NPI 1053954677
Nurse Practitioner - Family in Jesup, GA

Active since October 27, 2019PECOS Enrolled
141 S MACON ST, JESUP, GA 31545(912) 427-3202 Get Directions Write a Review

NPPES record last updated: June 16, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Samantha Anthonette Wilkerson Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAMANTHA ANTHONETTE WILKERSON FNP (NPI 1053954677) is an individual family provider in Jesup, Georgia, licensed in Florida (APRN111019366) and active in the NPI registry since October 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053954677
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSAMANTHA ANTHONETTE WILKERSONCredential: FNP
Location Address141 S MACON STJesup, GA 31545-1114
Mailing Address141 S Macon StJesup, GA 31545-1114 · (912) 427-3202
Phone(912) 427-3202
Sole ProprietorYes
Enumeration DateOctober 27, 2019
Last NPPES UpdateJune 16, 2022
NPPES CertifiedJune 16, 2022
✔ NPI 1053954677 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in FL · APRN111019366✔ Licensed in GA · F08190712
141 S MACON ST, Jesup, GA 31545
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Samantha Anthonette Wilkerson Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31545 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LESLIE BROOK TZEN NP
Nurse Practitioner (Family)
141 S MACON ST
JESUP, GA 31545
Wayne County (912) 427-3202
GHC-JESUP, LLC
Hospice Care, Community Based
141 S MACON ST
JESUP, GA 31545
Wayne County (912) 427-3202

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Samantha Wilkerson's NPI number?

The NPI number for Samantha Wilkerson is 1053954677. It was assigned to this individual provider in the NPPES registry on October 27, 2019.

Where is Samantha Wilkerson located?

Samantha Wilkerson practices at 141 S Macon St, Jesup, GA 31545. The listed phone number is (912) 427-3202.

What is Samantha Wilkerson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Samantha Wilkerson enrolled in Medicare?

Yes. Samantha Wilkerson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Samantha Wilkerson was last updated on June 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.