Active NPI
Keisha Lynn Wilkerson, MSPH
- Anesthesiologist Assistant
- Atlanta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiologist Assistant
- License
- 5927
- Practice address
- 1364 Clifton Rd NE
Atlanta, GA 30322 - Phone
- (404) 778-5778
- NPI assigned
- Jul 12, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiologist Assistant | 367H00000X | |||
| Anesthesiologist Assistant | 367H00000X | 5927 | GA | Primary |
Addresses
Primary practice location
1364 Clifton Rd NE
Atlanta, GA 30322
Mailing address
1364 Clifton Rd NE
Atlanta, GA 30322-1059
Phone (404) 778-5778
Other practice location 1
3950 Austell Rd
Austell, GA 30106-1121
Phone (770) 702-1806
Other practice location 2
677 Church St NE
Marietta, GA 30060-1101
Phone (770) 794-0477
Other practice location 3
745 Poplar Rd
Newnan, GA 30265-1618
Phone (770) 400-1000
Other practice location 4
775 Poplar Rd Ste Ll20
Newnan, GA 30265-8306
Phone (770) 253-1912
Other practice location 5
1255 Highway 54 W
Fayetteville, GA 30214-4526
Phone (404) 351-1745
Other practice location 6
1968 Peachtree Rd NW
Atlanta, GA 30309-1281
Phone (678) 216-0771
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology Assistant
- Education
- Emory University School of Medicine, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1255 Hwy 54 W
Fayetteville, GA 30214
Phone (770) 719-7000
Hospital & facility affiliations
- Piedmont Hospital, Inc
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5927 | GA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Anesthesia of Georgia LLC | Anesthesiologist Assistant | Current | Accepting new patients |
| Piedmont Anesthesia Associates, L.L.C | Current | Accepting new patients | |
| Mak Anesthesia Holdings LLC | Current | Accepting new patients | |
| Piedmont Anesthesia LLC | Current | Accepting new patients | |
| The Emory Clinic Inc | Current | Accepting new patients |
Locations
1365 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 778-7525
1968 Ptree Rd NW
Atlanta, GA 30309
Phone (404) 605-2222
1984 Peachtree Rd NW
Ste 515
Atlanta, GA 30309
Phone (404) 351-1754
3950 Austell Rd
Austell, GA 30106
Phone (770) 732-3752
1255 Highway 54 W
Fayetteville, GA 30214
Phone (770) 719-6911
601 S 8th St
Griffin, GA 30224
Phone (770) 228-2721
677 Church St NE
Marietta, GA 30060
Phone (770) 793-5435
745 Poplar Rd
Newnan, GA 30265
Phone (404) 478-8785
775 Poplar Rd
Ste LL20
Newnan, GA 30265
Phone (770) 253-1912
11 Upper Riverdale Rd SW
Riverdale, GA 30274
Phone (770) 897-7277
1133 Eagles Landing Pkwy
Stockbridge, GA 30281
Phone (678) 604-1000
Organizations & group practices 5
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.
-
- Anesthesiology Physician
- Stockbridge, GA
- NPI 1700474244
-
- Anesthesiology Physician
- Kennesaw, GA
- NPI 1912452939
-
- Anesthesiology Physician
- Atlanta, GA
- NPI 1407856594
-
- Anesthesiology Physician
- Snellville, GA
- NPI 1811403207
Anesthesiologist Assistant
-
- Internal Medicine Physician
- Atlanta, GA
- NPI 1396798229
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Atlanta, GA
- NPI 1962461681
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1278892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684454400000",
"number": "1336451889",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1364 CLIFTON RD NE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303221059",
"telephone_number": "404-778-5778"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1364 CLIFTON RD NE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "30322",
"telephone_number": "404-778-5778"
}
],
"practiceLocations": [
{
"address_1": "3950 Austell Rd",
"address_purpose": "LOCATION",
"city": "Austell",
"state": "GA",
"postal_code": "301061121",
"country_code": "US",
"telephone_number": "770-702-1806",
"fax_number": "770-693-0810",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "677 Church St NE",
"address_purpose": "LOCATION",
"city": "Marietta",
"state": "GA",
"postal_code": "300601101",
"country_code": "US",
"telephone_number": "770-794-0477",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "745 Poplar Rd",
"address_purpose": "LOCATION",
"city": "Newnan",
"state": "GA",
"postal_code": "302651618",
"country_code": "US",
"telephone_number": "770-400-1000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "775 Poplar Rd Ste Ll20",
"address_purpose": "LOCATION",
"city": "Newnan",
"state": "GA",
"postal_code": "302658306",
"country_code": "US",
"telephone_number": "770-253-1912",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1255 Highway 54 W",
"address_purpose": "LOCATION",
"city": "Fayetteville",
"state": "GA",
"postal_code": "302144526",
"country_code": "US",
"telephone_number": "404-351-1745",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1968 Peachtree Rd NW",
"address_purpose": "LOCATION",
"city": "Atlanta",
"state": "GA",
"postal_code": "303091281",
"country_code": "US",
"telephone_number": "678-216-0771",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILKERSON",
"first_name": "KEISHA",
"middle_name": "LYNN",
"credential": "MSPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-07-12",
"last_updated": "2023-05-19",
"certification_date": "2023-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "367H00000X",
"taxonomy_group": "",
"desc": "Anesthesiologist Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "367H00000X",
"taxonomy_group": "",
"desc": "Anesthesiologist Assistant",
"state": "GA",
"license": "5927",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.