Active NPI
Gregory Wilkerson, AGACNP-BC
- Nurse Practitioner
- Lawrenceville, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- RN219542
- Practice address
- 595 Hurricane Shoals Rd NW
Lawrenceville, GA 30046-8761 - Phone
- (770) 995-7802
- NPI assigned
- Jan 5, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | RN219542 | GA | Primary |
Addresses
Primary practice location
595 Hurricane Shoals Rd NW
Lawrenceville, GA 30046-8761
Mailing address
1269 Nathan Mauldin Dr
Lawrenceville, GA 30043-7249
Phone (678) 468-8672
Other practice location 1
5673 Peachtree Dunwoody
Atlanta, GA 30342-1731
Phone (404) 251-2400
Other practice location 2
1400 river pl
Braselton, GA 30517-5600
Phone (770) 534-2020
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
1070 Old Salem Rd
Greensboro, GA 30642-6476
Phone (708) 713-1904
555 Forest Rd
Athens, GA 30605-3823
Phone (317) 794-8945
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Legacy Physician Consultants, LLC | Current | Accepting new patients | |
| Premier Health Partners, LLC | Current | Accepting new patients | |
| A Place Like Home Respite Care Services | Nurse Practitioner | Current | Accepting new patients |
| Transit Home Care Consultants, LLC | Current | Accepting new patients | |
| D L Murray MD PC | Current | Accepting new patients | |
| Evirtualcare, LLC | Current | Accepting new patients |
Locations
920 Dannon Vw SW
Ste 3103
Atlanta, GA 30331
Phone (404) 549-9471
4760 Austell Rd
Ste 13
Austell, GA 30106
Phone (678) 464-4636
4760 Austell Rd
Ste 1
Austell, GA 30106
Phone (404) 549-9471
5245 Buford Hwy
Peachtree Corners, GA 30071
Phone (678) 445-5995
Organizations & group practices 7
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.
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- Family Medicine Physician
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- NPI 1720379696
-
- Internal Medicine Physician
- Athens, GA
- NPI 1073050647
-
- Internal Medicine Physician
- Baldwin, GA
- NPI 1508605668
-
- Nurse Practitioner
- Lawrenceville, GA
- NPI 1104693225
-
- Cardiovascular Disease Physician
- Gainesville, GA
- NPI 1477976520
-
- Primary Care Nurse Practitioner
- Atlanta, GA
- NPI 1548843006
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1578182400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770249600000",
"number": "1053950246",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1269 NATHAN MAULDIN DR",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300437249",
"telephone_number": "678-468-8672"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "595 HURRICANE SHOALS RD NW",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300468761",
"telephone_number": "770-995-7802"
}
],
"practiceLocations": [
{
"address_1": "5673 Peachtree Dunwoody",
"address_purpose": "LOCATION",
"city": "Atlanta",
"state": "GA",
"postal_code": "303421731",
"country_code": "US",
"telephone_number": "404-251-2400",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1400 river pl",
"address_purpose": "LOCATION",
"city": "Braselton",
"state": "GA",
"postal_code": "305175600",
"country_code": "US",
"telephone_number": "770-534-2020",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILKERSON",
"first_name": "GREGORY",
"name_prefix": "Mr.",
"credential": "AGACNP-BC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-01-05",
"last_updated": "2026-02-05",
"certification_date": "2026-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "GA",
"license": "RN219542",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lawrenceville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.