1952257743 NPI number — DR. KERI ECKHARDT WILBUR RN,MSN,EDD,CEN,CNE

Table of content: DR. KERI ECKHARDT WILBUR RN,MSN,EDD,CEN,CNE (NPI 1952257743)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1952257743 NPI number — DR. KERI ECKHARDT WILBUR RN,MSN,EDD,CEN,CNE

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
WILBUR
Provider First Name:
KERI
Provider Middle Name:
ECKHARDT
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
RN,MSN,EDD,CEN,CNE
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
ECKHARDT
Provider Other First Name:
KERI
Provider Other Middle Name:
BRIANNE
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
RN
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1952257743
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/05/2026
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
350 HOSPITAL DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MACON
Provider Business Mailing Address State Name:
GA
Provider Business Mailing Address Postal Code:
31217-3838
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
478-952-5387
Provider Business Mailing Address Fax Number:
678-345-3934

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
350 HOSPITAL DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MACON
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
31217-3838
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
478-952-5387
Provider Business Practice Location Address Fax Number:
678-345-3934
Provider Enumeration Date:
03/05/2026

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 163WD0400X , with the licence number:  RN154545 , registered in the state of GA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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