Individual provider Active NPI

Herold Pierre-Louis, MD

  • General Practice Physician
  • Lake City, FL
National Provider Identifier
1790336972
Registry record updated Feb 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ACN1700 Issued in FL
Practice address
1037 W US Highway 90 Ste 130
Lake City, FL 32055-3740
Phone
(864) 876-3573
NPI assigned
Sep 27, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X ACN1700 FL Primary

Addresses

Primary practice location

1037 W US Highway 90 Ste 130
Lake City, FL 32055-3740

Mailing address

1037 W US Highway 90 Ste 130
Lake City, FL 32055-3740
Phone (386) 487-6357

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
I20250222000023 FL Practitioner - General Practice 6901326818 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Synergy Inpatient Services LLC CurrentSince Oct 1, 2025 Accepting new patients
Elite Med Family Care Inc CurrentSince Nov 1, 2025 Accepting new patients

Locations

1580 Santa Barbara Blvd
The Villages, FL 32159
Phone (352) 494-6882

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1569542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739491200000",
    "number": "1790336972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1037 W US HIGHWAY 90 STE 130",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320553740",
            "telephone_number": "386-487-6357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1037 W US HIGHWAY 90 STE 130",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320553740",
            "telephone_number": "864-876-3573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIERRE-LOUIS",
        "first_name": "HEROLD",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-09-27",
        "last_updated": "2025-02-14",
        "certification_date": "2025-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ACN1700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake City, FL

Sources for this page

Verify at the official NPI Registry.