NPI age
3 years
Enumerated 2023-02-09
● Active
Type 1 · Individual
Keionna Wilkerson, PA-C
Wilkerson is 1 of 41 physician assistant providers in Roswell and 1 of 4616 in Georgia.
Primary specialty
Physician Assistant
Plus 1 subspecialty
Licensed in
NC
1 state
Status
Active
No deactivations on record
Last NPPES update
2026-05-05
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 4616 active physician assistant providers in Georgia.
NPI age
3 years
↓ 5 yr below median (8 yr)
State licenses
1 state
9% of peers hold multiple states
Subspecialties
0
24% of peers hold subspecialties
NPI lifetime · 2023 → 2026
2023-02Enumerated in NPPES
2023
2026
Where they practice
Practice location
170 Ivywood Ln
Roswell, GA 300761787
Mailing address
Po Box 896263
Charlotte, NC 282896263
Additional practice locations
2 secondary locations on file with NPPES.
Location 2
1638 Owen Dr
Fayetteville, NC 283043424
Location 3
210 Medical Pavilion Dr
Raeford, NC 283769111
Specialties
-
Physician Assistant PrimaryA physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally...
Practice context
Solo or small practice. No other active providers share this practice address in NPPES.
Recently enumerated nearby: 1 new physician assistant provider has been added in Roswell in the last 180 days.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.