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Individual provider Active NPI

Craig A Hardy, PA

  • Medical Physician Assistant
  • Daytona Beach, FL
National Provider Identifier
1740544626
Registry record updated Feb 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA9114804 Issued in FL
Practice address
1640 Technology Blvd Unit 110
Daytona Beach, FL 32117-7315
Phone
(386) 219-4094
NPI assigned
Jun 26, 2012
Last updated
Feb 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA1345 ME
Medical Physician Assistant 363AM0700X PA9114804 FL Primary

Addresses

Primary practice location

1640 Technology Blvd Unit 110
Daytona Beach, FL 32117-7315

Mailing address

PO Box 1268
New Smyrna Beach, FL 32170-1268
Phone (386) 222-3932

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210830001127 FL Practitioner - Physician Assistant 6002067584 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orlando Carenow Urgent Care LLCGroup PAC ID 1759666050, 57 clinicians

Practice addresses (Care Compare)

7460 University Blvd
Suite 110
Winter Park, FL 32792-8903
Phone (407) 410-8945

Merit-based Incentive Payment System (MIPS)

Final score
94.8 of 100Reported as group
Quality
86.19
Improvement activities
40
Cost
67.75

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Florida Health Services Inc CurrentSince Mar 1, 2023 Accepting new patients
Avecina Medical, PA CurrentSince Feb 1, 2025 Accepting new patients
Heathrow Internal Medicine LLC Past Accepting new patients
St. Joseph Ambulatory Care Inc Past Accepting new patients
Avecina Medical PA Past Accepting new patients
Sunbury Primary Care, P.a. Physician Assistant Past Accepting new patients
Sunbury Primary Care, P.a. Physician Assistant Past Accepting new patients
Paramount Urgent Care Inc Past Accepting new patients

Locations

1640 Technology Blvd
Unit 110
Daytona Beach, FL 32117
Phone (386) 219-4094

1205 S Woodland Blvd
Ste 3
Deland, FL 32720

4815 Sweetgrass Pl
Unit 201
Jacksonville, FL 32224
Phone (904) 367-3372

9580 Applecross Rd
Ste 106
Jacksonville, FL 32222
Phone (904) 778-9180

216 Frederick St
Pierson, FL 32180
Phone (386) 749-9449

1633 Race Track Rd
Ste 101
St Johns, FL 32259
Phone (904) 230-6988

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1340668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770940800000",
    "number": "1740544626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1268",
            "city": "NEW SMYRNA BEACH",
            "state": "FL",
            "postal_code": "321701268",
            "telephone_number": "386-222-3932",
            "fax_number": "386-213-9981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1640 TECHNOLOGY BLVD UNIT 110",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321177315",
            "telephone_number": "386-219-4094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARDY",
        "first_name": "CRAIG",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-26",
        "last_updated": "2026-02-13",
        "certification_date": "2026-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "ME",
            "license": "PA1345",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9114804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Daytona Beach, FL

Sources for this page

Verify at the official NPI Registry.