JERRY R WILBORN JR. MD
NPI 1629042999
Emergency Medicine in Atlanta, GA
About Jerry R Wilborn Jr. Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JERRY R WILBORN JR. MD (NPI 1629042999) is an individual emergency medicine provider in Atlanta, Georgia, licensed in Georgia (045666) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Northside Hospital Forsyth, and is a graduate of Medical College Of Georgia School Of Medicine (1995).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 12
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Jerry R Wilborn Jr. Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Jerry Wilborn reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Sandy Springs, GA 30342
- Reassigned Medicare billing, Georgia enrollment
- 162 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 5
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Northside Hospital Forsyth
Acute Care Hospitals · Cumming, GAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30342 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ATLANTA, GA 30342
ATLANTA, GA 30342
ATLANTA, GA 30342
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 Jerry Wilborn's NPI number?
The NPI number for Jerry Wilborn is 1629042999. It was assigned to this individual provider in the NPPES registry on February 14, 2006.
Where is Jerry Wilborn located?
Jerry Wilborn practices at 1000 Johnson Ferry Rd NE, Atlanta, GA 30342. The listed phone number is (404) 851-6936.
What is Jerry Wilborn's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Jerry Wilborn enrolled in Medicare?
Yes. Jerry Wilborn is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Jerry Wilborn's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jerry Wilborn reassigns Medicare benefits to Northside Emergency Associates, LLC (Sandy Springs, GA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jerry Wilborn's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jerry Wilborn accept?
Health plans from Oscar Insurance Company list Jerry Wilborn as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Jerry Wilborn affiliated with any hospitals?
According to CMS data, Jerry Wilborn is affiliated with Northside Hospital Forsyth.
When was this NPI record last updated?
The NPPES record for Jerry Wilborn was last updated on November 12, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.
# Jerry R Wilborn Jr., MD · NPI 1629042999
Emergency Medicine physician in Atlanta, Georgia. Individual provider, active in the CMS NPPES registry since February 14, 2006.
## Identity
- **NPI:** 1629042999 (Entity type: Individual)
- **Enumerated:** February 14, 2006
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 045666 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 1000 JOHNSON FERRY RD NE, Atlanta, GA 30342-1606
- **Phone:** (404) 851-6936
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Northside Emergency Associates, LLC (NPI 1285686303, Sandy Springs, GA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Medical College Of Georgia School Of Medicine, class of 1995
## Record status
- **NPPES last updated:** November 12, 2008
- **Other identifiers:** Other 006083 (GA); Medicare UPIN G71171 (GA); Medicare ID-Type Unspecified 93BDWKD (GA); and 9 more
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Source: [NPI Profile](https://npiprofile.com/npi/1629042999) · Data from the CMS NPPES public registry.