Individual provider Active NPI

George Dekeles, APRN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • St Petersburg, FL
National Provider Identifier
1477855872
Registry record updated Oct 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN3020142 Issued in FL
Practice address
475 Central Ave Ste 300B
St Petersburg, FL 33701-3859
Phone
(727) 371-4357
Fax
(727) 279-3456
NPI assigned
Nov 17, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN3020142 FL Primary

Addresses

Primary practice location

475 Central Ave Ste 300B
St Petersburg, FL 33701-3859

Mailing address

740 4TH St N, PMB 352
St Petersburg, FL 33701-2322
Phone (727) 371-4357

Other practice location 1

2054 Vista Pkwy Ste 400
West Palm Beach, FL 33411-6742
Phone (561) 216-0006

Other practice location 2

6303 Blue Lagoon Dr Ste 400
Miami, FL 33126-6040
Phone (786) 809-3606

Other practice location 3

7369 Sheridan St Ste 203
Hollywood, FL 33024-2776
Phone (954) 369-4111

Other practice location 4

6804 Cecelia Drive
New Port Richey, FL 34653-4935
Phone (855) 232-0644

Other practice location 5

445 31st St N
St Petersburg, FL 33713-7605
Phone (727) 538-9903 ext. 5113

Other practice location 6

8270 Woodland Center Blvd
Tampa, FL 33614-2401
Phone (656) 233-0010

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110211000361 FL Practitioner - Nurse Practitioner 6002096823 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Author Health Professionals, PCGroup PAC ID 7416368949, 93 clinicians
Grow Healthcare Group PAGroup PAC ID 3476961368, 1,045 clinicians

Practice addresses (Care Compare)

360 NW 27TH St
Office/Suite 08 109
Miami, FL 33127-1504
Phone (805) 807-3303

66 E Flagler St
Miami, FL 33130-1807
Phone (786) 244-7711

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Author Health Professionals, PC CurrentSince Dec 10, 2025 Accepting new patients
Sondermind Provider Network LLC Psychiatric/Mental Health CurrentSince Dec 9, 2025 Accepting new patients
Serene Behavioral Health, LLC Psychiatric/Mental Health CurrentSince May 19, 2023 Accepting new patients
Mobile Physician Services Inc. Psychiatric/Mental Health CurrentSince May 27, 2024 Accepting new patients
Grow Healthcare Group PA Psychiatric/Mental Health CurrentSince Oct 24, 2025 Accepting new patients
Share of Florida, LLC Psychiatric/Mental Health PastSince Oct 29, 2024 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

333 SE 2nd Ave
Ste 2000
Miami, FL 33131
Phone (201) 581-3411

360 NW 27th St
#8109
Miami, FL 33127
Phone (805) 807-3303

6804 Cecelia Dr
New Prt Rchy, FL 34653
Phone (727) 232-0644

475 Central Ave
#300B
Saint Petersburg, FL 33701
Phone (727) 626-2067

Interoperability endpoints

  • Direct secure messaging: george.dekeles.1@29651.direct.athenahealth.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.

NPI Registry JSON

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

{
    "created_epoch": "1289952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730160000000",
    "number": "1477855872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 4TH ST N, PMB 352",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337012322",
            "telephone_number": "727-371-4357",
            "fax_number": "727-279-3456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 CENTRAL AVE STE 300B",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337013859",
            "telephone_number": "727-371-4357",
            "fax_number": "727-279-3456"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2054 Vista Pkwy Ste 400",
            "address_purpose": "LOCATION",
            "city": "West Palm Beach",
            "state": "FL",
            "postal_code": "334116742",
            "country_code": "US",
            "telephone_number": "561-216-0006",
            "fax_number": "954-350-0909",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6303 Blue Lagoon Dr Ste 400",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331266040",
            "country_code": "US",
            "telephone_number": "786-809-3606",
            "fax_number": "786-809-3616",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7369 Sheridan St Ste 203",
            "address_purpose": "LOCATION",
            "city": "Hollywood",
            "state": "FL",
            "postal_code": "330242776",
            "country_code": "US",
            "telephone_number": "954-369-4111",
            "fax_number": "954-350-0909",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6804 Cecelia Drive",
            "address_purpose": "LOCATION",
            "city": "New Port Richey",
            "state": "FL",
            "postal_code": "346534935",
            "country_code": "US",
            "telephone_number": "855-232-0644",
            "fax_number": "888-546-0488",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "445 31st St N",
            "address_purpose": "LOCATION",
            "city": "St Petersburg",
            "state": "FL",
            "postal_code": "337137605",
            "country_code": "US",
            "telephone_number": "727-538-9903 x5113",
            "fax_number": "727-490-0522",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8270 Woodland Center Blvd",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336142401",
            "country_code": "US",
            "telephone_number": "656-233-0010",
            "fax_number": "656-233-0011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEKELES",
        "first_name": "GEORGE",
        "credential": "APRN, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-11-17",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN3020142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.