Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Jennifer Lynn Mooneyham, PA-C

Individual provider Physician Assistant · NPI 1467164293

Mrs. Jennifer Lynn Mooneyham, PA-C is a Physician Assistant in Aiken, South Carolina. Qualified in 2022, 4 years ago. Practices with Caroline R. Price MD PA, a 3-clinician group.

Years since qualifying
4
In the registry since
2022
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

118 Park Ave SW
Aiken, SC 29801-3835
Phone: (803) 641-0049
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1467164293
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedDecember 26, 2022
Last updated in NPPESDecember 26, 2022
Certification dateDecember 6, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Caroline R. Price Md Pa — 3 clinicians
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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