DR. KELLY TERRELL WILBURN MD
NPI 1104853373
Pediatrics in Dunwoody, GA

Q: What is Kelly Wilburn's NPI number?

The NPI number for Kelly Wilburn is 1104853373. It was assigned to this individual provider in the NPPES registry on June 26, 2006. The provider is also known as Kelly Terrell.

Q: What is Kelly Wilburn's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Wilburn was last updated on August 22, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since June 26, 2006

1428 DUNWOODY VILLAGE PKWY., DUNWOODY, GA 30338(770) 394-2358(770) 394-3055 Get Directions Write a Review

NPPES record last updated: August 22, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Kelly Terrell Wilburn Md NPPES

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

DR. KELLY TERRELL WILBURN MD (NPI 1104853373) is an individual pediatrics provider in Dunwoody, Georgia, licensed in Georgia (054698) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1104853373

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameDR. KELLY TERRELL WILBURNCredential: MD

Location Address1428 DUNWOODY VILLAGE PKWY.Dunwoody, GA 30338

Mailing Address1428 Dunwoody Village Pkwy.Dunwoody, GA 30338 · (770) 394-2358 · Fax (770) 394-3055

Phone(770) 394-2358

Fax(770) 394-3055

Sole ProprietorNo

Enumeration DateJune 26, 2006

Last NPPES UpdateAugust 22, 2011

✔ NPI 1104853373 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in GA · 054698

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

1428 DUNWOODY VILLAGE PKWY., Dunwoody, GA 30338

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Other Names 1

Other Name (5)Kelly Terrell

Other Identifiers 1

Medicaid899642472BGA

Other Providers at the Same Location NPPES

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

DR. GLORIA ANA BERENSON MD

Pediatrics

1428 DUNWOODY VILLAGE PKWY.
DUNWOODY, GA 30338

Dekalb County (770) 394-2398

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 Kelly Wilburn's NPI number?

The NPI number for Kelly Wilburn is 1104853373. It was assigned to this individual provider in the NPPES registry on June 26, 2006. The provider is also known as Kelly Terrell.

Where is Kelly Wilburn located?

Kelly Wilburn practices at 1428 Dunwoody Village Pkwy., Dunwoody, GA 30338. The listed phone number is (770) 394-2358.

What is Kelly Wilburn's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Kelly Wilburn was last updated on August 22, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.