KEIONNA WILKERSON PA-C
NPI 1851098891
Physician Assistant in Roswell, GA

Active since February 09, 2023PECOS EnrolledAccepts Medicare Assignment
170 IVYWOOD LN, ROSWELL, GA 30076(323) 559-3205 Get Directions Write a Review

NPPES record last updated: May 5, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 5, 2026, Jul 7, 2025, May 23, 2025 and 1 more (4 updates tracked since 2023).

About Keionna Wilkerson Pa-c NPPES

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

KEIONNA WILKERSON PA-C (NPI 1851098891) is an individual physician assistant in Roswell, Georgia, licensed in North Carolina (1180750) and active in the NPI registry since February 2023. She is enrolled in Medicare PECOS, is affiliated with Cape Fear Valley Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1851098891
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKEIONNA WILKERSONCredential: PA-C
Location Address170 IVYWOOD LNRoswell, GA 30076-1787
Mailing AddressPo Box 896263Charlotte, NC 28289-6263 · (323) 559-3205
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateFebruary 9, 2023
Last NPPES UpdateMay 5, 20264 updates tracked since enumeration
NPPES CertifiedMay 5, 2026
NPI 1851098891 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in NC · 1180750
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
170 IVYWOOD LN, Roswell, GA 30076

Secondary Practice Locations 2

Location 11638 Owen DrFayetteville, NC 28304-3424 · Phone (910) 615-6949
Location 2210 Medical Pavilion DrRaeford, NC 28376-9111 · Phone (910) 904-8000 · Fax (910) 904-8445

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Keionna Wilkerson Pa-c 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.

PECOS PAC ID6800257056
PECOS Enrollment IDI20230803002492
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.

Areas of Expertise CMS Part B claims 2

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
237 services99 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
41 services41 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Cape Fear Valley Medical Center

Acute Care Hospitals · Fayetteville, NC
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340028
Location1638 Owen Drive P O Box 2000Fayetteville, NC 28302 · Cumberland County
Emergency services Birthing friendly

Cape Fear Valley-Bladen County Hospital

Critical Access Hospitals · Elizabethtown, NC
OwnershipVoluntary non-profit - Private
CMS Certification Number341315
Location501 South Poplar StreetElizabethtown, NC 28337 · Bladen County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30076 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Keionna Wilkerson's NPI number?

The NPI number for Keionna Wilkerson is 1851098891. It was assigned to this individual provider in the NPPES registry on February 9, 2023.

Where is Keionna Wilkerson located?

Keionna Wilkerson practices at 170 Ivywood Ln, Roswell, GA 30076. The listed phone number is (323) 559-3205.

What is Keionna Wilkerson's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Keionna Wilkerson enrolled in Medicare?

Yes. Keionna Wilkerson 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.

What insurance does Keionna Wilkerson accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina and Ambetter of Tennessee list Keionna Wilkerson 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 Keionna Wilkerson affiliated with any hospitals?

According to CMS data, Keionna Wilkerson is affiliated with Cape Fear Valley Medical Center and Cape Fear Valley-Bladen County Hospital.

When was this NPI record last updated?

The NPPES record for Keionna Wilkerson was last updated on May 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.