Doctor profile · Federal record
Dr. Mandy Mooneyham, PA-C
Surgical Physician Assistant · Surgical Physician Assistant · Surgical Physician Assistant · Surgical Physician Assistant · Fayetteville, AR
- NPI 1831391655
- 19 yrs on file
- Licensed in 3 states
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
3053 N College Ave
Fayetteville, AR 727033417
(479) 463-2000
fax (479) 442-4518
Credentials & registration
- NPI registered
- June 2007 — 19 yrs on file
- Profile last updated
- November 22, 2013
- Specialty taxonomy
- 363AS0400X — NUCC code
- State licenses (4)
- Arkansas #PA-329 · Missouri #2007002747 · Arkansas #P-T0716 · Oklahoma #2266
- Medicaid
- MO #502277007
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1831391655. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$29
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Abbvie INC. | 1 | $28.91 |
By nature of payment
Frequently asked questions
What is Dr. Mandy Mooneyham's medical specialty?
Dr. Mandy Mooneyham practices Surgical Physician Assistant in Fayetteville, AR.
Where does Dr. Mandy Mooneyham practice?
Dr. Mandy Mooneyham practices at 3053 N College Ave, Fayetteville, AR 727033417. Office phone: 4794632000.
What is Dr. Mandy Mooneyham's NPI?
Dr. Mandy Mooneyham's National Provider Identifier (NPI) is 1831391655, issued by NPPES.