Individual provider Active NPI

Fenton Gregory Lebon I, MD

  • Psychiatry Physician
  • Delray Beach, FL
National Provider Identifier
1245989458
Registry record updated Jan 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME165538 Issued in FL
Practice address
4600 Linton Blvd Ste 250
Delray Beach, FL 33445-6600
Phone
(225) 422-9007
NPI assigned
Mar 23, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2084P0800X MD18063 RI
Psychiatry Physician 2084P0800X ME165538 FL Primary

Addresses

Primary practice location

4600 Linton Blvd Ste 250
Delray Beach, FL 33445-6600

Mailing address

4600 Linton Blvd Ste 250
Delray Beach, FL 33445-6600
Phone (225) 422-9007

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
I20240311001114 FL Practitioner - PsychiatryPractitioner - Addiction Medicine 3476999665 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME165538FLMDPsychiatry Physician
MD18063RIMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Center for Psychiatric Services, PLLC Single Specialty CurrentSince Jan 24, 2024 Accepting new patients
Premium Healthcare Holdings, LLLP Single Specialty CurrentSince Nov 1, 2024 Accepting new patients
Florida Center for Psychiatric Services, PLLC CurrentSince Jan 24, 2024 Accepting new patients
Hoover Family Medicine PA Single Specialty Past Accepting new patients

Locations

13800 Tech City Cir
Ste 322
Alachua, FL 32615
Phone (386) 853-4835

4600 Linton Blvd
Ste 250
Delray Beach, FL 33445
Phone (561) 277-2369

2400 SW 69th Ave
Ste 100
Miami, FL 33155

6850 Coral Way
Miami, FL 33155
Phone (305) 665-8205

2770 Indian River Blvd
Ste 324
Vero Beach, FL 32960
Phone (772) 226-6718

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1647993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737590400000",
    "number": "1245989458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 LINTON BLVD STE 250",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334456600",
            "telephone_number": "225-422-9007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 LINTON BLVD STE 250",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334456600",
            "telephone_number": "225-422-9007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEBON",
        "first_name": "FENTON",
        "middle_name": "GREGORY",
        "name_suffix": "I",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-03-23",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "RI",
            "license": "MD18063",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME165538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

Verify at the official NPI Registry.