Individual provider Active NPI

George Glenn Le-Bert, D.O.

  • Cardiovascular Disease Physician
  • Fernandina Beach, FL
National Provider Identifier
1033318928
Registry record updated Nov 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
OS10063 Issued in FL
Practice address
1250 S 18TH St Ste 202
Fernandina Beach, FL 32034-4729
Phone
(904) 261-9786
Fax
(904) 376-3203
NPI assigned
Jul 12, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X OS10063 FL Primary
Nuclear Cardiology Physician 207UN0901X OS10063 FL

Addresses

Primary practice location

1250 S 18TH St Ste 202
Fernandina Beach, FL 32034-4729

Mailing address

PO Box 746652
Atlanta, GA 30374-6652
Phone (904) 202-2092

Other practice location 1

462626 State Road 200 Ste 103
Yulee, FL 32097-5513
Phone (904) 443-9771

Other identifiers 2

IdentifierTypeStateIssuer
P00944481OtherFLRAILROAD MEDICARE
000794000MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090518000505 FL Practitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology) 6406905686 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Cardiovascular Disease (Cardiology)
Education
Nova Southeastern College of Osteo Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Millennium Physician Group LLCGroup PAC ID 9830244433, 976 clinicians
Baptist Cardiology, Inc.Group PAC ID 2466614581, 98 clinicians

Practice addresses (Care Compare)

1132 S 14TH St
Fernandina Beach, FL 32034-2920
Phone (904) 277-4690

1250 S 18TH St
Suite 202
Fernandina Beach, FL 32034-4729
Phone (904) 261-9786

Hospital & facility affiliations

  • Baptist Medical Center - Nassau Hospital, Fernandina Beach, FL, CCN 100140
  • Baptist Health Medical Center - Jacksonville Hospital, Jacksonville, FL, CCN 100088
  • Baptist Medical Center Beaches Hospital, Jacksonville Beach, FL, CCN 100117
  • Shands Jacksonville Hospital, Jacksonville, FL, CCN 100001
  • Southeast Georgia Health System -- Camden Campus Hospital, Saint Marys, GA, CCN 110146

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Millennium Physician Group LLC CurrentSince Dec 1, 2023 Accepting new patients
Baptist Cardiology, Inc. Cardiovascular Disease CurrentSince May 1, 2012 Accepting new patients
Millennium Physician Group LLC CurrentSince Dec 1, 2023 Accepting new patients
Baptist Cardiology Inc Cardiovascular Disease CurrentSince May 1, 2012 Accepting new patients
Ecg Associates of Jacksonville P a CurrentSince Aug 1, 2011 Accepting new patients
Southern Heart Group Cardiovascular Disease Past Accepting new patients

Locations

14540 Cortez Blvd
Ste 102
Brooksville, FL 34613
Phone (352) 596-7255

1348 S 18th St
Ste 200
Fernandina Beach, FL 32034
Phone (904) 202-6683

1132 S 14th St
Fernandina Beach, FL 32034
Phone (904) 277-4690

1250 S 18th St
Ste 202
Fernandina Beach, FL 32034
Phone (904) 202-2000

1250 S 18th St
Fernandina Beach, FL 32034
Phone (904) 202-2087

1340 S 18th St
Ste 202
Fernandina Beach, FL 32034
Phone (904) 261-9786

13813 Metro Pkwy
Fort Myers, FL 33912
Phone (239) 936-1343

820 Prudential Dr
Ste 112
Jacksonville, FL 32207
Phone (904) 396-5996

800 Prudential Dr
Jacksonville, FL 32207
Phone (904) 202-2000

836 Prudential Dr
Ste 1700
Jacksonville, FL 32207
Phone (904) 398-0125

3434 Hancock Bridge Pkwy
Ste 301
North Ft Myers, FL 33903
Phone 877856377411108

19531 Cochran Blvd
Pt Charlotte, FL 33948
Phone (941) 255-3535

462626 State Road 200
Ste 103
Yulee, FL 32097
Phone (904) 443-9771

Interoperability endpoints

  • Direct secure messaging: glebert28120@baptisthealthsystemjacksonville.direct-ci.com

Organizations & group practices 6

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

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1184198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762387200000",
    "number": "1033318928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746652",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746652",
            "telephone_number": "904-202-2092",
            "fax_number": "904-376-4075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 S 18TH ST STE 202",
            "city": "FERNANDINA BEACH",
            "state": "FL",
            "postal_code": "320344729",
            "telephone_number": "904-261-9786",
            "fax_number": "904-376-3203"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "462626 State Road 200 Ste 103",
            "address_purpose": "LOCATION",
            "city": "Yulee",
            "state": "FL",
            "postal_code": "320975513",
            "country_code": "US",
            "telephone_number": "904-443-9771",
            "fax_number": "904-858-3288",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LE-BERT",
        "first_name": "GEORGE",
        "middle_name": "GLENN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-12",
        "last_updated": "2025-11-06",
        "certification_date": "2025-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "OS10063",
            "primary": true
        },
        {
            "code": "207UN0901X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": "FL",
            "license": "OS10063",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00944481",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000794000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fernandina Beach, FL

Sources for this page

Verify at the official NPI Registry.