Active NPI
George Glenn Le-Bert, D.O.
- Cardiovascular Disease Physician
- Fernandina Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- OS10063
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00944481 | Other | FL | RAILROAD MEDICARE |
| 000794000 | Medicaid | FL |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- 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
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
- Baptist Health Medical Center - Jacksonville
- Baptist Medical Center Beaches
- Shands Jacksonville
- Southeast Georgia Health System -- Camden Campus
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Millennium Physician Group LLC | Current | Accepting new patients | |
| Baptist Cardiology, Inc. | Cardiovascular Disease | Current | Accepting new patients |
| Millennium Physician Group LLC | Current | Accepting new patients | |
| Baptist Cardiology Inc | Cardiovascular Disease | Current | Accepting new patients |
| Ecg Associates of Jacksonville P a | Current | 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
- 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.
-
- Cardiovascular Disease Physician
- Jacksonville, FL
- NPI 1760751598
-
- Family Medicine Physician
- Fort Myers, FL
- NPI 1811122880
-
- Cardiology Technician
- Jacksonville, FL
- NPI 1679796395
-
- Cardiovascular Disease Physician
- Fleming Island, FL
- NPI 1629416805
-
- Family Medicine Physician
- Brooksville, FL
- NPI 1073131702
-
- Cardiovascular Disease Physician
- Jacksonville, FL
- NPI 1962484220
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fernandina Beach, FL
- NPI 1518024462
-
- General Acute Care Hospital
- Jacksonville Beach, FL
- NPI 1821155912
-
- Urgent Care Clinic/Center
- Jacksonville, FL
- NPI 1144962408
Hospital
-
- General Acute Care Hospital
- Jacksonville, FL
- NPI 1821186313
-
- General Acute Care Hospital
- Jacksonville, FL
- NPI 1578620449
-
- General Acute Care Hospital
- Saint Marys, GA
- NPI 1194744326
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2025; 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.