VIVIAN MANDAS (PA) – Physician Assistant, NPI 1508620303

VIVIAN MANDAS (PA) is a healthcare provider. based in Knoxville, Tennessee. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. The NPI Number for VIVIAN MANDAS (PA) is 1508620303

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
VIVIAN MANDAS (PA)
NPI
1508620303
Phone
(347) 981-3905
Address
2733 SILICON VALLEY WAY
Enumeration Date
12 February 2024
Last Update Date
21 February 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2023 (3 years ago)
PAC ID
1254874266
Group Practice PAC ID
0749262459
Professional Enrollment ID
I20240619000352
Address ID
TN378306927OA800XXTURN401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness75
Years active:2State licenses:0Digital endpointsOther names

3,118 PHYSICIAN ASSISTANT in TN

Provider Addresses for VIVIAN MANDAS (PA)

  • 2733 SILICON VALLEY WAY

    KNOXVILLE, TN 379314288

    Phone: (347) 981-3905

    Type: Mailing

  • 800 OAK RIDGE TPKE STE C100

    OAK RIDGE, TN 378306927

    Phone: (865) 483-2288

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 10 Open Payments records for all available years, with a total value of $224.

Total Amount is formed as General ($224) + Research ($0) + Ownership ($0) = $224.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Optinose US, Inc. ($111).

Total Amount

$224

General + Research + Ownership

Payments

10

Total payment records

General Amount

$224

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-11

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-06-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240619000352IPhysician AssistantTNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 37931)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0749262459View full group profile
NameSpecialtyState
Qualified AudiologistTN
O T O L A R Y N G O L O G YTN
-TN
Qualified AudiologistTN
Qualified AudiologistTN
Qualified AudiologistTN
O T O L A R Y N G O L O G YTN
-TN
O T O L A R Y N G O L O G YTN

Reviews

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Frequently asked questions

Does VIVIAN MANDAS (PA) have a public NPI I can cite?
Public records show VIVIAN MANDAS (PA) under NPI 1508620303.
Does the public listing show VIVIAN MANDAS (PA) as active?
VIVIAN MANDAS (PA)'s NPI record reflects an active status in NPPES.
What type of care does VIVIAN MANDAS (PA) provide?
VIVIAN MANDAS (PA)'s profile centers on Physician Assistant. Clinical services aligned with this taxonomy classification.
What geographic area is tied to VIVIAN MANDAS (PA)?
VIVIAN MANDAS (PA) is associated with Knoxville, Tennessee in the same public data insurers reference.
Can I export VIVIAN MANDAS (PA)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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