Raymon Joel Wilensky, M.D.

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

18773 Issued in GA

Practice address

750 Town Park Lane
Kaiser Permanente Town Park Medical Center
Kennesaw, GA 30144

Phone

(770) 931-6020

Fax

(404) 252-8769

NPI assigned

Jan 15, 2007

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Saint Josephs Hospital of Atlanta Inc

  • General Acute Care Hospital
  • Atlanta, GA
  • NPI 1679664395
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463356800000",
    "number": "1023169208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3495 PIEDMONT ROAD, NE",
            "address_2": "NINE PIEDMONT CENTER",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30305",
            "telephone_number": "404-364-7070",
            "fax_number": "404-252-8769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 TOWN PARK LANE",
            "address_2": "KAISER PERMANENTE TOWN PARK MEDICAL CENTER",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "30144",
            "telephone_number": "770-931-6020",
            "fax_number": "404-252-8769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILENSKY",
        "first_name": "RAYMON",
        "middle_name": "JOEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-15",
        "last_updated": "2016-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "GA",
            "license": "18773",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000144185B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Whittle Chiropractic Ctr., Inc. (The Wellpath Center)
• Elaine Atkins Whitworth, LMSW,LPC
• Nicolas A. Wieder, DO
• Tanya S Wilcox, NP
• Kendall E Wilde, DPT
• Lesley Orman Wilkerson, MD
• Janna Williams-Pitts, PHD
• Anthony Williams, PHARMD.
• Daniel Williams, DPT
• Geannette Elaine Williams, RN

• Neurology Physician in Kennesaw, GA
• Providers in Kennesaw, GA by specialty
• Neurology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.