Leonard Alan Wilkerson, D.O., MBA, MPH

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

200201641 Issued in NC

Practice address

1591 Yanceyville St Ste 100
Greensboro, NC 27405-6942

Phone

(336) 540-7393

Fax

(877) 538-5389

NPI assigned

Jul 25, 2011

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Osteopathy, Master of Business Administration

State licenses

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

{
    "created_epoch": "1311552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1386922490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 RIVINGTON WAY",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274559329",
            "telephone_number": "336-558-8501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1591 YANCEYVILLE ST STE 100",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274056942",
            "telephone_number": "336-540-7393",
            "fax_number": "877-538-5389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILKERSON",
        "first_name": "LEONARD",
        "middle_name": "ALAN",
        "credential": "D.O., MBA, MPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-07-25",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "200201641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Wiley, LPC, LCAS, MAC
• Jessica Wiley, RPH
• Marshall Thomas Wilfong
• Darian Wilhelm
• Arionna Wilkerson, MS, LCMHCA
• Ronetta Y Wilkerson, OT
• Stephon Dionte Wilkerson, BS, PP
• Valerie P Wilkerson, CRNA
• Robert Daniel Wilkes
• Shamekia Wilkes

• Family Medicine Physician in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.