Individual provider Active NPI

Mendy Cooper McClelland, PA

  • Medical Physician Assistant
  • Beebe, AR
National Provider Identifier
1639446271
Registry record updated Jul 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA-471 Issued in AR
Practice address
47 Highway 64 W
Beebe, AR 72012-9500
Phone
(501) 882-3388
Fax
(501) 882-3300
NPI assigned
Nov 28, 2011
Last updated
Jul 15, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA-471 AR Primary

Addresses

Primary practice location

47 Highway 64 W
Beebe, AR 72012-9500

Mailing address

47 Highway 64 W
Beebe, AR 72012-9500
Phone (501) 882-3388

Other practice location 1

1200 McLain St
Newport, AR 72112-3534
Phone (870) 523-0193

Other names 1

  • Mendy Nicole Cooper Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120327000818 AR Practitioner - Physician Assistant 4082874169 Reassigns benefits to 6 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA-471ARMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
White County Medical Center CurrentSince Sep 13, 2017 Accepting new patients
White County Medical Center CurrentSince Sep 13, 2017 Accepting new patients
White County Medical Center CurrentSince Sep 13, 2017 Accepting new patients
White County Medical Center Current Accepting new patients
Arkansas Health Group Current Accepting new patients
White County Medical Center CurrentSince Sep 13, 2017 Accepting new patients
White County Medical Center CurrentSince Sep 13, 2017 Accepting new patients
John Richard Duke Sr MD PLLC Dba Duke Medical PastSince Sep 1, 2024 Accepting new patients
Arcare Past Accepting new patients

Locations

2725 Highway 25B
Heber Springs, AR 72543
Phone (501) 362-5800

1200 McLain St
Newport, AR 72112
Phone (870) 523-5272

103 Woodlane Dr
Searcy, AR 72143
Phone (501) 268-3733

2900 Hawkins Dr
Searcy, AR 72143
Phone (501) 278-2800

2902 E Race Ave
Searcy, AR 72143
Phone (501) 236-0225

3130 E Race Ave
Ste 100
Searcy, AR 72143
Phone (501) 268-3232

3214 E Race Ave
Searcy, AR 72143
Phone (501) 268-6121

415 Rodgers Dr
#A
Searcy, AR 72143
Phone (501) 278-3297

711 Santa Fe Dr
Searcy, AR 72143
Phone (501) 279-9393

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": "1322438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721001600000",
    "number": "1639446271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 HIGHWAY 64 W",
            "city": "BEEBE",
            "state": "AR",
            "postal_code": "720129500",
            "telephone_number": "501-882-3388",
            "fax_number": "501-882-3300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 HIGHWAY 64 W",
            "city": "BEEBE",
            "state": "AR",
            "postal_code": "720129500",
            "telephone_number": "501-882-3388",
            "fax_number": "501-882-3300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 McLain St",
            "address_purpose": "LOCATION",
            "city": "Newport",
            "state": "AR",
            "postal_code": "721123534",
            "country_code": "US",
            "telephone_number": "870-523-0193",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCLELLAND",
        "first_name": "MENDY",
        "middle_name": "COOPER",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-28",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AR",
            "license": "PA-471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MENDY",
            "last_name": "COOPER",
            "middle_name": "NICOLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Beebe, AR

Sources for this page

Verify at the official NPI Registry.