Jewea R Wilburn, MS

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

5727 Rockingwood Dr
Atlanta, GA 30349-7361

Phone

(769) 256-7239

NPI assigned

Sep 25, 2023

Sex

Female

Sole proprietor

No

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

Master of Science

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

{
    "created_epoch": "1695600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695600000000",
    "number": "1821877499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5727 ROCKINGWOOD DR",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303497361",
            "telephone_number": "769-256-7239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5727 ROCKINGWOOD DR",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303497361",
            "telephone_number": "769-256-7239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILBURN",
        "first_name": "JEWEA",
        "middle_name": "R",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-25",
        "last_updated": "2023-09-25",
        "certification_date": "2023-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shondra Wilbanks, LPC
• Eli Payson Wilber, MD
• Martha M Wilber, MD
• Molly Wilber, AGACNP
• Jerry R Wilborn Jr., MD
• Kemaya Wilburn
• Catherine Judith Wilby, PA-C
• Jenna Elise Wilckens, OTR/L
• Alison Wilcox, OTRL
• Anquon Jarome Wilcox

• Behavior Technician in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Behavior Technician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2023; 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.