Active NPI
Gloried Marie Ebsworth, DPM
- Foot & Ankle Surgery Podiatrist
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- PO 3550
- Practice address
- 1726 University Blvd S
Jacksonville, FL 32216-8929 - Phone
- (904) 437-1532
- NPI assigned
- Jun 30, 2009
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Podiatrist | 213E00000X | PO 3550 | FL | |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | PO 3550 | FL | Primary |
Addresses
Primary practice location
1726 University Blvd S
Jacksonville, FL 32216-8929
Mailing address
1985 Cove Dr
Largo, FL 33774-1005
Phone (305) 781-9667
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 006315500 | 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: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Barry University School of Podiatric Medicine, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5304 S Florida Ave
Suite 408
Lakeland, FL 33813-2519
Phone (863) 738-6601
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 211 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 293 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PO 3550 | FL | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ihn Podiatry Services PLLC | Podiatrist | Current | Accepting new patients |
| Eric D Teeman, DPM, PA | Current | Accepting new patients | |
| Bay Area Endocrinology Associates LLC | Past | Accepting new patients | |
| Martha G Herrera DPM PA | Foot & Ankle Surgery | Past | Accepting new patients |
Locations
5304 S Florida Ave
Ste 406
Lakeland, FL 33813
Phone (863) 607-4183
5304 S Florida Ave
Ste 400F
Lakeland, FL 33813
Phone (863) 738-6601
5304 S Florida Ave
Ste 408
Lakeland, FL 33813
Phone (863) 647-2614
Interoperability endpoints
- gloriedebsworth@afa.ssdirect.aprima.com
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.
-
- Endocrinology, Diabetes & Metabolism Physician
- Tampa, FL
- NPI 1699019315
-
- Podiatric Clinic/Center
- Jacksonville, FL
- NPI 1992045207
Foot & Ankle Surgery
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1246320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780963200000",
"number": "1649408501",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1985 COVE DR",
"city": "LARGO",
"state": "FL",
"postal_code": "337741005",
"telephone_number": "305-781-9667"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1726 UNIVERSITY BLVD S",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322168929",
"telephone_number": "904-437-1532"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EBSWORTH",
"first_name": "GLORIED",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-06-30",
"last_updated": "2026-06-09",
"certification_date": "2026-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "FL",
"license": "PO 3550",
"primary": false
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "FL",
"license": "PO 3550",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "006315500",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2026; 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.