Mendy Cooper McClelland, PA
Individual provider Active NPI Medical Physician Assistant · Beebe, AR
NPI 1639446271 · NPPES record last updated Jul 15, 2024
Key facts
- NPI
- 1639446271
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- License
- PA-471 (AR)
- Practice address
- 47 Highway 64 W
Beebe, AR 72012-9500 - Phone
- (501) 882-3388
- Fax
- (501) 882-3300
- NPI assigned
- Nov 28, 2011
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 12
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120327000818 | AR | Practitioner - Physician Assistant | 4082874169 | Reassigns benefits to 6 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA-471 | AR | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| White County Medical Center | Current |
Accepting new patients | |
| White County Medical Center | Current |
Accepting new patients | |
| White County Medical Center | Current |
Accepting new patients | |
| Arkansas Health Group | Current | Accepting new patients | |
| White County Medical Center | Current | Accepting new patients | |
| White County Medical Center | Current |
Accepting new patients | |
| White County Medical Center | Current |
Accepting new patients | |
| White County Medical Center | Current |
Accepting new patients | |
| Arcare | Past | Accepting new patients | |
| John Richard Duke Sr MD PLLC Dba Duke Medical | 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
711 Santa Fe Dr
Searcy, AR 72143
Phone (501) 279-9393
3214 E Race Ave
Searcy, AR 72143
Phone (501) 268-6121
3130 E Race Ave
Ste 100
Searcy, AR 72143
Phone (501) 268-3232
2902 E Race Ave
Searcy, AR 72143
Phone (501) 236-0225
415 Rodgers Dr
#A
Searcy, AR 72143
Phone (501) 278-3297
103 Woodlane Dr
Searcy, AR 72143
Phone (501) 268-3733
2900 Hawkins Dr
Searcy, AR 72143
Phone (501) 278-2800
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA-471 | AR | Yes |
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
- Mendy Nicole Cooper
Other providers in Beebe, AR
- Thomas N Lyon
- Tosha Mallett
- Lesego Maloma
- Rachel Lynn Martin
- Dewey McAfee
- Kayla McCoy
- Lance Alan McGraw
- Larry Dean McGraw
- Janice Anne McKean
- Jeneen I McPherson
All providers in Beebe, AR · Medical Physician Assistant in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 15, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.