Donna Maria Wilkerson, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

11063 Issued in GA

Practice address

600 W Peachtree St NW
Suite 750
Atlanta, GA 30308-3607

Phone

(404) 876-7200

Fax

(404) 876-2660

NPI assigned

Oct 18, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• Dental One Associates (Atlanta) LLC

  • Dentist
  • Atlanta, GA
  • NPI 1366575383
  NPD (past)

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645401600000",
    "number": "1063593549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3365 PIEDMONT RD NE STE 1100",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303051708",
            "telephone_number": "404-237-3070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 W PEACHTREE ST NW",
            "address_2": "SUITE 750",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303083607",
            "telephone_number": "404-876-7200",
            "fax_number": "404-876-2660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILKERSON",
        "first_name": "DONNA",
        "middle_name": "MARIA",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-18",
        "last_updated": "2022-02-21",
        "certification_date": "2022-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "11063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Regina Peavy Wiley
• Zanthia E Wiley, M.D.
• Alexandria Eleaze Wilhite
• Bethany Wilhoit, LPC
• David Harris Wilkerson, D.O.
• Dori I'Mon Wilkerson
• Jerrund Thomas Wilkerson, RPH
• Keisha Lynn Wilkerson, MSPH
• Kirenski Wilkerson
• Joseph S Wilkes, M.D.

• General Practice Dentistry in Atlanta, GA
• Providers in Atlanta, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.