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DR. GEORGE ALFRED WENNERBERG JR. M.D.
NPI 1659666717
Internal Medicine in Port Orange, FL

Active since June 16, 2011PECOS Enrolled
5821 S WILLIAMSON BLVD STE 204, PORT ORANGE, FL 32128(386) 231-6300 Get Directions Write a Review

NPPES record last updated: May 13, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 13, 2026, Apr 15, 2026, Aug 12, 2025 and 1 more (4 updates tracked since 2020).

About Dr. George Alfred Wennerberg Jr. M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. GEORGE ALFRED WENNERBERG JR. M.D. (NPI 1659666717) is an individual internal medicine provider in Port Orange, Florida, licensed in Florida (ME181118) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS, is affiliated with Adventhealth Daytona Beach, and is a graduate of Loma Linda University School Of Medicine (2011).

NPPES Registry Identity

NPI1659666717
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. GEORGE ALFRED WENNERBERG JR.Credential: M.D.
Location Address5821 S WILLIAMSON BLVD STE 204Port Orange, FL 32128-6102
Mailing Address5821 S Williamson Blvd Ste 204Port Orange, FL 32128-6102 · (386) 231-6300
Phone(386) 231-6300
Sole ProprietorNo
Medical School CMSLoma Linda University School Of MedicineGraduated 2011
Enumeration DateJune 16, 2011
Last NPPES UpdateMay 13, 20264 updates tracked since enumeration
NPPES CertifiedMay 13, 2026
✔ NPI 1659666717 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in FL · ME181118✔ Licensed in TN · 74387
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
5821 S WILLIAMSON BLVD STE 204, Port Orange, FL 32128
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. George Alfred Wennerberg Jr. M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2567722804
PECOS Enrollment IDI20250825001091, I20260521002762
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

4

Medicare enrollment records show George Wennerberg reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Adventhealth Primary Care Network Inc
39 mi
Family Medicine
900 HOPE WAY
Altamonte Springs, FL 32714
  • Reassigned Medicare billing, Florida enrollment
  • 395 clinicians in this Medicare group
NPI 1093493637 (407) 357-1000
Ihc Health Services Inc
264 mi
Clinic/Center
1300 N 500 E #130, LOGAN REGIONAL ORTHOPEDICS
Logan, UT 84341
  • Reassigned Medicare billing, Utah enrollment
  • 3,691 clinicians in this Medicare group
NPI 1205963105 (435) 716-2800
Bradley Physician Services, LLC
475 mi
Orthopaedic Surgery of the Spine
2305 CHAMBLISS AVE NW
Cleveland, TN 37311
  • Reassigned Medicare billing, Tennessee enrollment
  • 88 clinicians in this Medicare group
NPI 1710727540 (423) 728-1650
Blount Memorial Physician Group, Inc
490 mi
Family Medicine
266 JOULE ST
Alcoa, TN 37701
  • Reassigned Medicare billing, Tennessee enrollment
  • 295 clinicians in this Medicare group
NPI 1699710194 (865) 984-3864

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
79 services59 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
64 services64 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
47 services47 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
40 services33 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
22 services22 patients
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677
The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.
19 services19 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Adventhealth Daytona Beach

Acute Care Hospitals · Daytona Beach, FL
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number100068
Location301 Memorial Medical ParkwayDaytona Beach, FL 32117 · Volusia County
Emergency services Birthing friendly

Park City Hospital

Acute Care Hospitals · Park City, UT
5/5 CMS rating
OwnershipProprietary
CMS Certification Number460057
Location900 Round Valley DrivePark City, UT 84060 · Summit County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32128 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. YANELIS LEYVA MSN, FNP-BC
Nurse Practitioner (Family)
5821 S WILLIAMSON BLVD STE 204
PORT ORANGE, FL 32128
Volusia County (386) 231-6300
ELENA MARIE LUSHINE PA-C
Physician Assistant
5821 S WILLIAMSON BLVD STE 204
PORT ORANGE, FL 32128
Volusia County (386) 231-6300
MRS. MIKALA PATRICIA HUGHES
Nurse Practitioner
5821 S WILLIAMSON BLVD STE 204
PORT ORANGE, FL 32128
Volusia County (386) 231-6300
AMANDA PHILLIPS FNP-BC, PMHNP-BC
Nurse Practitioner (Family)
5821 S WILLIAMSON BLVD STE 204
PORT ORANGE, FL 32128
Volusia County (386) 231-6325
RAMNEET KOONER MD
Family Medicine
5821 S WILLIAMSON BLVD STE 204
PORT ORANGE, FL 32128
Volusia County (386) 231-6300
DR. DIANET FALCON DO
Family Medicine
5821 S WILLIAMSON BLVD STE 204
PORT ORANGE, FL 32128
Volusia County (386) 231-6300
CAYLA MILFORD PA-C
Physician Assistant
5821 S WILLIAMSON BLVD STE 204
PORT ORANGE, FL 32128
Volusia County (386) 231-6300

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is George Wennerberg's NPI number?

The NPI number for George Wennerberg is 1659666717. It was assigned to this individual provider in the NPPES registry on June 16, 2011.

Where is George Wennerberg located?

George Wennerberg practices at 5821 S Williamson Blvd Ste 204, Port Orange, FL 32128. The listed phone number is (386) 231-6300.

What is George Wennerberg's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is George Wennerberg enrolled in Medicare?

Yes. George Wennerberg is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for George Wennerberg's services?

According to the CMS Revalidation Reassignment List (October 2026 release), George Wennerberg reassigns Medicare benefits to 4 organizations: Adventhealth Primary Care Network Inc (Altamonte Springs, FL), Ihc Health Services Inc (Logan, UT), Bradley Physician Services, LLC (Cleveland, TN) and Blount Memorial Physician Group, Inc (Alcoa, TN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for George Wennerberg's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does George Wennerberg accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 6 other insurers list George Wennerberg as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is George Wennerberg affiliated with any hospitals?

According to CMS data, George Wennerberg is affiliated with Adventhealth Daytona Beach and Park City Hospital.

When was this NPI record last updated?

The NPPES record for George Wennerberg was last updated on May 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.