Individual provider Active NPI

David E Hanks, PA-C

  • Physician Assistant
  • Fayetteville, AR
National Provider Identifier
1760964829
Registry record updated Jun 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA-1386 Issued in AR
Practice address
1673 N College Ave
Fayetteville, AR 72703-1919
Phone
(479) 521-0200
Fax
(479) 521-4942
NPI assigned
Sep 5, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA-1386 AR Primary

Addresses

Primary practice location

1673 N College Ave
Fayetteville, AR 72703-1919

Mailing address

PO Box 1523
Fayetteville, AR 72702-1523
Phone (479) 571-6038

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address david.hanks@mana.eclinicaldirectplus.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, AR2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20181105003080 AZ Practitioner - Physician Assistant 0648523894 Reassigns benefits to 2 organizations
I20250414001236 AR Practitioner - Physician Assistant 0648523894 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Associates of Northwest Arkansas, PAGroup PAC ID 3678542073, 102 clinicians

Practice addresses (Care Compare)

1673 N College Ave
Fayetteville, AR 72703-1919
Phone (479) 521-0200

3344 N Futrall Dr
Fayetteville, AR 72703-4057
Phone (479) 521-8200

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7152AZMDPhysical Therapist
PA-1386ARMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Associates of Northwest Arkansas PA Family Medicine CurrentSince Jun 1, 2025 Accepting new patients
Sunset Community Health Center Inc CurrentSince Sep 4, 2018 Accepting new patients
Medical Associates of Northwest Arkansas PA Family Medicine CurrentSince Jun 1, 2025 Accepting new patients
Desert Healthcare Services LLC CurrentSince Jan 20, 2020 Accepting new patients
Sunset Community Health Center Inc CurrentSince Sep 4, 2018 Accepting new patients
Desert Healthcare Services LLC CurrentSince Jan 20, 2020 Accepting new patients
Medical Associates of Northwest Arkansas PA Family Medicine Past Accepting new patients
Medical Associates of Northwest Arkansas PA Family Medicine Past Accepting new patients
Sunset Community Health Center Inc Past Accepting new patients

Locations

3383 N Mana Ct
Ste 201
Fayetteville, AR 72703
Phone (479) 571-6780

1673 N College Ave
Fayetteville, AR 72703
Phone (479) 521-0200

3344 N Futrall Dr
Fayetteville, AR 72703
Phone (479) 582-7213

2060 W 24th St
Yuma, AZ 85364
Phone (928) 344-4216

284 W 32nd St
Yuma, AZ 85364
Phone (928) 341-4563

675 S Avenue B
Yuma, AZ 85364
Phone (928) 539-3140

675 S Avenue B
Bldg A
Yuma, AZ 85364
Phone (928) 539-3140

Interoperability endpoints

  • Direct secure messaging: david.hanks@mana.eclinicaldirectplus.com
  • Direct secure messaging: david.hanks.p1@direct.sunset.nextgenshare.com

Organizations & group practices 10

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

NPI Registry JSON

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

{
    "created_epoch": "1536105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750291200000",
    "number": "1760964829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1523",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727021523",
            "telephone_number": "479-571-6038",
            "fax_number": "479-582-0222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1673 N COLLEGE AVE",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727031919",
            "telephone_number": "479-521-0200",
            "fax_number": "479-521-4942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANKS",
        "first_name": "DAVID",
        "middle_name": "E",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-09-05",
        "last_updated": "2025-06-19",
        "certification_date": "2025-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AR",
            "license": "PA-1386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "david.hanks@mana.eclinicaldirectplus.com",
            "affiliation": "N",
            "endpointDescription": "Provider's direct address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "1673 N College Ave",
            "city": "Fayetteville",
            "state": "AR",
            "country_code": "US",
            "postal_code": "727031919",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fayetteville, AR

Sources for this page

Verify at the official NPI Registry.