Individual provider Active NPI

Gregory Wilkerson, AGACNP-BC

  • Nurse Practitioner
  • Lawrenceville, GA
National Provider Identifier
1053950246
Registry record updated Feb 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN219542 Issued in GA
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

Updated by the provider on Feb 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210201002445 GA Practitioner - Nurse Practitioner 2860806940 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
May accept Medicare assignment
Group practices
Premier Health Partners, LLCGroup PAC ID 3476085747, 9 clinicians

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

OrganizationSpecialtyStatusNew patients
Legacy Physician Consultants, LLC CurrentSince Oct 1, 2024 Accepting new patients
Premier Health Partners, LLC CurrentSince Oct 1, 2024 Accepting new patients
A Place Like Home Respite Care Services Nurse Practitioner CurrentSince Dec 10, 2023 Accepting new patients
Transit Home Care Consultants, LLC CurrentSince Nov 27, 2022 Accepting new patients
D L Murray MD PC CurrentSince Dec 1, 2020 Accepting new patients
Evirtualcare, LLC CurrentSince Jan 18, 2022 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.

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

Verify at the official NPI Registry.