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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: July 19, 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

What is Lonnie Harding's NPI number?

The NPI number assigned to this healthcare provider is 1154329290, enumerated as an "individual" on July 12, 2005.

Where is the provider located?

The provider is located at 5129 STATE ROAD 674 SUITE A WIMAUMA, FL 33598 and the phone number is (813) 633-8489.

What is the provider's specialty?

Physician Assistant with taxonomy code 363AS0400X and a focus in Surgical.