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MR. LONNIE RAY HARDING PA-C
NPI 1154329290
Physician Assistant - Surgical in Wimauma, FL

Active since July 12, 2005PECOS Enrolled
5129 STATE ROAD 674, SUITE A, WIMAUMA, FL 33598(813) 633-8489(813) 633-2669 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Lonnie Ray Harding Pa-c NPPES

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

MR. LONNIE RAY HARDING PA-C (NPI 1154329290) is an individual surgical provider in Wimauma, Florida, licensed in Florida (PA2166) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154329290
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameMR. LONNIE RAY HARDINGCredential: PA-C
Location Address5129 STATE ROAD 674, SUITE AWimauma, FL 33598-3530
Mailing Address5129 State Road 674, Suite AWimauma, FL 33598-3530 · (813) 633-8489 · Fax (813) 633-2669
Phone(813) 633-8489
Fax(813) 633-2669
Sole ProprietorNo
Enumeration DateJuly 12, 2005
Last NPPES UpdateSeptember 11, 2025
✔ NPI 1154329290 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in FL · PA2166
Also ListedPhysician AssistantTaxonomy 363A00000X · License PA2166 (FL)
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License PA2166 (FL)
5129 STATE ROAD 674, Wimauma, FL 33598
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Lonnie Ray Harding Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES

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

DR. VICTORIA ANN NESSEL M.D.
Family Medicine
5129 STATE ROAD 674, SUITE A
WIMAUMA, FL 33598
Hillsborough County (813) 633-8489

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 Lonnie Harding's NPI number?

The NPI number for Lonnie Harding is 1154329290. It was assigned to this individual provider in the NPPES registry on July 12, 2005.

Where is Lonnie Harding located?

Lonnie Harding practices at 5129 State Road 674 Suite A, Wimauma, FL 33598. The listed phone number is (813) 633-8489.

What is Lonnie Harding's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Lonnie Harding enrolled in Medicare?

Yes. Lonnie Harding is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Lonnie Harding was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.