Individual provider Active NPI

John Decerce, MD

  • Neurology Physician
  • Starke, FL
National Provider Identifier
1497724421
Registry record updated Aug 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
ME68599 Issued in FL
Practice address
107 Edwards Rd
Suite F
Starke, FL 32091-3959
Phone
(904) 368-8111
Fax
(904) 368-8103
NPI assigned
Mar 14, 2006
Last updated
Aug 22, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X ME68599 FL Primary

Addresses

Primary practice location

107 Edwards Rd
Suite F
Starke, FL 32091-3959

Mailing address

107 Edwards Rd
Suite F
Starke, FL 32091-3959
Phone (904) 368-8111

Other identifiers 2

IdentifierTypeStateIssuer
000912315AMedicaidGA
2620120-00MedicaidFL

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
I20110922000178 FL Practitioner - NeurologyPractitioner - Sleep Medicine 8921145434 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NeurologyAlso: Sleep Medicine
Education
Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc), 1991
Medicare assignment
May accept Medicare assignment
Group practices
Lake Area Physical Therapy Inc.Group PAC ID 3678604840, 372 clinicians

Practice addresses (Care Compare)

107 Edwards Rd
Suite F
Starke, FL 32091-3959
Phone (904) 368-8111

PO Box
Melrose, FL 32666-1099

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Neurology Associates of Starke Inc Neurology CurrentSince May 7, 2012 Accepting new patients
Cardiac Care Center Inc PastSince Jan 22, 2019 Accepting new patients
Morton S Corin MD PA Neurology Past Accepting new patients
University of Florida Jacksonville Physicians, Inc. Neurology Past Accepting new patients
First Care Inc Past Accepting new patients

Locations

107 Edwards Rd
#F
Starke, FL 32091
Phone (386) 326-3633

Interoperability endpoints

  • Direct secure messaging: johndecerce@neurostarke.amazing-direct.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755820800000",
    "number": "1497724421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 EDWARDS RD",
            "address_2": "SUITE F",
            "city": "STARKE",
            "state": "FL",
            "postal_code": "320913959",
            "telephone_number": "904-368-8111",
            "fax_number": "904-368-8103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 EDWARDS RD",
            "address_2": "SUITE F",
            "city": "STARKE",
            "state": "FL",
            "postal_code": "320913959",
            "telephone_number": "904-368-8111",
            "fax_number": "904-368-8103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECERCE",
        "first_name": "JOHN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-14",
        "last_updated": "2025-08-22",
        "certification_date": "2025-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME68599",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000912315A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2620120-00",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Starke, FL

Sources for this page

Verify at the official NPI Registry.