HARLEY LAING PONDER MD
NPI 1366094310
Student in an Organized Health Care Education/Training Program in Tallahassee, FL

Q: What is Harley Ponder's NPI number?

The NPI number for Harley Ponder is 1366094310. It was assigned to this individual provider in the NPPES registry on July 10, 2019.

Q: What is Harley Ponder's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Harley Ponder was last updated on June 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since July 10, 2019PECOS Enrolled

1301 HODGES DR, TALLAHASSEE, FL 32308(850) 431-5430 Get Directions Write a Review

NPPES record last updated: June 17, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 17, 2025, Jul 10, 2019 (2 updates tracked since 2019).

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About Harley Laing Ponder Md NPPES

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

HARLEY LAING PONDER MD (NPI 1366094310) is an individual student in an organized health care education/training program in Tallahassee, Florida, licensed in Florida (TRN42387) and active in the NPI registry since July 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1366094310

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameHARLEY LAING PONDERCredential: MD

Location Address1301 HODGES DRTallahassee, FL 32308-4614

Mailing Address1301 Hodges DrTallahassee, FL 32308-4614 · (850) 431-5430

Phone(850) 431-5430

Sole ProprietorNo

Enumeration DateJuly 10, 2019

Last NPPES UpdateJune 17, 20252 updates tracked since enumeration

NPPES CertifiedJune 17, 2025

✔ NPI 1366094310 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

License✔ Licensed in FL · TRN42387

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Also ListedSpecialist/Technologist · Athletic TrainerTaxonomy 2255A2300X

1301 HODGES DR, Tallahassee, FL 32308

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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)

Harley Laing Ponder Md 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 20

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

PATRICIA N HAMMER D.O.

Student in an Organized Health Care Education/Training Program