Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jerry R Wilborn Jr., MD

Individual provider Emergency Medicine Physician · NPI 1629042999

Jerry R Wilborn Jr., MD is an Emergency Medicine in Atlanta, Georgia. Graduated from Medical College of Georgia School of Medicine in 1995, 31 years ago. Practices with Northside Emergency Associates, PC, a 38-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
31
Trained at
Medical College of Georgia School of Medicine
Licensed in
GA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1000 Johnson Ferry Rd NE
Atlanta, GA 30342-1606
Phone: (404) 851-6936
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 045666 (GA)

Record details

NPI number1629042999
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedFebruary 14, 2006
Last updated in NPPESNovember 12, 2008

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolMEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Graduated 1995 (31 years in practice)
Group practice Northside Emergency Associates, P.C. — 38 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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