Elie Joseph Hercule, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ACN369 Issued in FL

Practice address

1240 Greensward Drive
Tallahassee, FL 32312-6773

Phone

(850) 212-8322

Fax

(850) 629-4723

NPI assigned

Sep 25, 2006

Sex

Male

Sole proprietor

Yes

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.

• CTD Network LLC

  • Multi-Specialty Clinic/Center
  • Plant City, FL
  • NPI 1851039762

  GA, General Practice

  Medicare reassignment Care Compare group NPD
• Complexcare Medical Group Southeast H PLLC

  • Internal Medicine Physician
  • Novi, MI
  • NPI 1083508238

  GA

  Medicare reassignment Care Compare group NPD
• Theoria Medical

  • Internal Medicine Physician
  • Novi, MI
  • NPI 1609362375

  GA

  Medicare reassignment NPD
• Bainbridge Operator LLC

  • Skilled Nursing Facility
  • Bainbridge, GA
  • NPI 1508038696
  NPD (past)
• Complexcare Medical Group Midwest M PLLC

  • Internal Medicine Physician
  • Novi, MI
  • NPI 1528851607
  NPD (past)
• Hospital Authority of the City of Bainbridge and Decatur County

  • Multi-Specialty Clinic/Center
  • Bainbridge, GA
  • NPI 1053388256
  NPD (past)
• Jesup Operator LLC

  • Skilled Nursing Facility
  • Jesup, GA
  • NPI 1952573040
  NPD (past)
• Presbyterian Home, Quitman, Inc.

  • Nursing Facility/Intermediate Care Facility
  • Quitman, GA
  • NPI 1336139070
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Bainbridge Operator LLC

  • Skilled Nursing Facility
  • Bainbridge, GA
  • NPI 1508038696

  Nursing home

  Care Compare affiliation
• Brooks County Hospital

  • Diagnostic Radiology Physician
  • Quitman, GA
  • NPI 1184078537

  Hospital

  Care Compare affiliation
• Brooks County Hospital

  • Critical Access Hospital
  • Quitman, GA
  • NPI 1306890942

  Hospital

  Care Compare affiliation
• Hospital Authority of Wayne County, Georgia

  • General Acute Care Hospital
  • Jesup, GA
  • NPI 1770578999

  Hospital

  Care Compare affiliation
• Jesup Operator LLC

  • Skilled Nursing Facility
  • Jesup, GA
  • NPI 1952573040

  Nursing home

  Care Compare affiliation
• Presbyterian Home, Quitman, Inc.

  • Nursing Facility/Intermediate Care Facility
  • Quitman, GA
  • NPI 1336139070

  Nursing home

  Care Compare affiliation

Specialty

Family Practice

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

CTD Network LLC 27 clinicians

Complexcare Medical Group Southeast H PLLC 12 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Archbold Brooks Hospital, Quitman, GA, CCN 111332
• Wayne Memorial Hospital Hospital, Jesup, GA, CCN 110124
• Jesup Ridge of Journey LLC Nursing home, Jesup, GA, CCN 115503
• Hospital Authority of Brooks County, Georgia, the Nursing home, Quitman, GA, CCN 115498
• Bainbridge Landing of Journey LLC Nursing home, Bainbridge, GA, CCN 115324

Medicare fee-for-service enrollment

Enrolled in GA, FL2 enrollments

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.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 3, 2018.

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1514937600000",
    "number": "1710088620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1240 GREENSWARD DRIVE",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323126773",
            "telephone_number": "850-212-8322",
            "fax_number": "850-629-4723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 GREENSWARD DRIVE",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323126773",
            "telephone_number": "850-212-8322",
            "fax_number": "850-629-4723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERCULE",
        "first_name": "ELIE JOSEPH",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2018-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "069487",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301109006",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "16311",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ACN369",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "1710088620",
            "identifier": "1710088620",
            "state": "PR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1710088620",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tobi Henry, COTA/L
• Velma Henry, PHARMD
• Madison Lynn Henzel
• Herbert B. Rubin, M.D., P.a.
• Miranda Ann Herbert, LCSW
• Heritage Family Care,LLC
• Jhasmin Y Hernandez Diaz
• Claudia Marie Hernandez, O.D.
• Jane S Hernandez, LMHC
• Luis Mariano Hernandez, LCSW

• All providers in Tallahassee, FL
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2018; 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.

Verify at the official NPI Registry.