NPPES file of Aug 9, 2026

Millennium Physician Group LLC in Fernandina Beach, FL

This location of Millennium Physician Group bills under NPI 1700558574, an organization record issued on Sep 30, 2021 with the primary taxonomy Family Medicine Physician. It is one of 128 NPIs registered under this name; each clinician who sees you there has their own NPI and license.

CMS NPPES registry, file of Aug 9, 2026 · method · Verify with CMS →

Organization recordNPPES, Aug 2026
1700558574
Legal name
Millennium Physician Group LLC
Entity
Type 2 · organization
Primary taxonomy
Family Medicine Physician 207Q00000X
Practice location
1340 S 18TH ST STE 204, Fernandina Beach, FL 32034
Phone
904-261-0643
Mailing address
Fort Myers, FL
Enumerated
Sep 30, 2021
Record updated
Jan 19, 2023
Authorized official
Director Of Revenue Cycle (title as filed)
Public record from the NPPES NPI Registry (open it on CMS). An NPI identifies who bills; it is not a facility license.

19 clinicians CMS lists with Millennium Physician Group in Fernandina Beach

  1. Michael Clark, DODiagnostic Radiology Physician1457662280
  2. David Fleszar, DODiagnostic Radiology Physician1083704845
  3. Alexis Gill, APRNFamily Nurse Practitioner1477232437
  4. Makenzie Griffin, FNPFamily Nurse Practitioner1093209645
  5. Ansley Grogan, DOInternal Medicine Physician1962152330
  6. Holly Hamilton, MDFamily Medicine Physician1760522403
  7. Jennifer Harper, ARNPFamily Nurse Practitioner1689111304
  8. Martha Hicks, ARNPFamily Nurse Practitioner1932448321
  9. Kristin Hostetler, ARNPAdult Health Nurse Practitioner1609156470
  10. George Le-Bert, DOCardiovascular Disease Physician1033318928
  11. Paul Ratcliff, DODiagnostic Radiology Physician1275759565
  12. Henry Rodeffer, MDInternal Medicine Physician1710978077
  13. Saurin Shah, MDDiagnostic Radiology Physician1326026931
  14. Neelie Sutton, MSNFamily Nurse Practitioner1225489131
  15. Matthew Thornton, ARNPFamily Nurse Practitioner1659898021
  16. Edward Tribuzio, MDFamily Medicine Physician1174501571
  17. Amie Wilcox, APRNFamily Nurse Practitioner1699364505
  18. Glinda Wortham, APRNFamily Nurse Practitioner1790249092
  19. Tameerah Yisrael, APRN FNP-BCFamily Nurse Practitioner1417435884

Source: CMS Doctors and Clinicians group affiliations, matched by practice name and city.

All 128 Millennium Physician Group NPIs

Every location registered under this name, in 34 cities.

See every location

Checking an organization

  1. Confirm the business with the Florida secretary of state (Sunbiz).
  2. Check the HHS-OIG exclusion list for the organization.
  3. Verify each clinician on their own record and the state license search.

Common questions

Is an organization NPI a license?

No. An NPI identifies who bills. Facilities and the clinicians who work there are licensed separately by the state.

Source: CMS National Plan and Provider Enumeration System (NPPES), monthly file of Aug 9, 2026 (NPPES files on CMS.gov). An NPI identifies who bills; it is not a license.