Kemaya Wilburn

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

RN213051 Issued in GA

Practice address

101 Marietta St NW Ste 350
Atlanta, GA 30303-2724

Phone

(404) 947-5800

NPI assigned

Jul 22, 2015

Last updated

Mar 22, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Albany Area Community SVC. BoardGroup PAC ID 9032190483, 19 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Albany Area Community SVC. Board

  • Public Health or Welfare Agency
  • Albany, GA
  • NPI 1063464212
  Medicare reassignment Care Compare group NPD
• Curtis Behavioral Health

  • Psychiatric/Mental Health Nurse Practitioner
  • Warner Robins, GA
  • NPI 1942852512
  Medicare reassignment NPD
• Gateway Community Service Board

  • Community/Behavioral Health Agency
  • Brunswick, GA
  • NPI 1558478214
  Medicare reassignment NPD
• Lookout Mountain Community Services

  • Community/Behavioral Health Agency
  • La Fayette, GA
  • NPI 1790782431
  Medicare reassignment NPD
• SGMP Southland LLC

  • Psychiatry Physician
  • Valdosta, GA
  • NPI 1447695085
  Medicare reassignment NPD
• Tift Regional Health System Inc

  dba Southwell Mobile Clinic

  • Family Medicine Physician
  • Tifton, GA
  • NPI 1881203305
  Medicare reassignment NPD
• Choice Family Medicine, PC

  • Primary Care Clinic/Center
  • Valdosta, GA
  • NPI 1609087469
  NPD
• Gateway Behavioral Health Services

  • Mental Illness Community Based Residential Treatment Facility
  • Brunswick, GA
  • NPI 1124254321
  NPD
• Lookout Mountain Community Services

  • Community/Behavioral Health Agency
  • La Fayette, GA
  • NPI 1386716124
  NPD
• Lookout Mountain Community Services

  • Community/Behavioral Health Agency
  • Fort Oglethorpe, GA
  • NPI 1568599090
  NPD
• Tift Regional Health System Inc

  dba WorkSmart Occupational Medicine

  • Clinic/Center
  • Tifton, GA
  • NPI 1003980996
  NPD
• Tift Regional Health System Inc

  dba Affinity Clinic

  • Pediatrics Physician
  • Tifton, GA
  • NPI 1366765166
  NPD

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

{
    "created_epoch": "1437523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616371200000",
    "number": "1841675667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "189 HIDDEN CREEK CIR",
            "city": "LIZELLA",
            "state": "GA",
            "postal_code": "310525572",
            "telephone_number": "404-308-7475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 MARIETTA ST NW STE 350",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303032724",
            "telephone_number": "404-947-5800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILBURN",
        "first_name": "KEMAYA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-22",
        "last_updated": "2021-03-22",
        "certification_date": "2021-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN213051",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "GA",
            "license": "RN213051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• Psychiatric/Mental Health Nurse Practitioner in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2021; 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.
• 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.

Verify at the official NPI Registry.