Individual provider Active NPI

Kayla Shaniece Gerald, PA-C

  • Physician Assistant
  • Myrtle Beach, SC
National Provider Identifier
1215758990
Registry record updated Apr 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5724 Issued in SC
Practice address
823 82ND Pkwy
Myrtle Beach, SC 29572-4607
Phone
(843) 449-1010
Fax
(843) 497-6171
NPI assigned
Oct 24, 2024
Last updated
Apr 30, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2026

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 5724 SC Primary

Addresses

Primary practice location

823 82ND Pkwy
Myrtle Beach, SC 29572-4607

Mailing address

823 82ND Pkwy
Myrtle Beach, SC 29572-4607
Phone (843) 449-1010

Other practice location 1

3600 Sea Mountain Hwy Ste D
Little River, SC 29566-8161
Phone (843) 399-8930

Other practice location 2

809 82nd Pkwy Ste B
Myrtle Beach, SC 29572-4607
Phone (843) 449-1010

Other practice location 3

135 Professional Park Dr
Conway, SC 29526-9261
Phone (843) 347-8765

Other practice location 4

1255 Tadlock Dr
Murrells Inlet, SC 29576-7973
Phone (843) 293-0446

Other practice location 5

309 Hinson Dr
Myrtle Beach, SC 29579-4435
Phone (843) 236-4949

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20250812001703 SC Practitioner - Physician Assistant 1355849027 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Auc Urologists LLCGroup PAC ID 3375986953, 29 clinicians

Practice addresses (Care Compare)

101 McLeod Health Blvd
Suite 202
Myrtle Beach, SC 29579-4477
Phone (843) 347-2450

1255 Tadlock Dr
Murrells Inlet, SC 29576-7973
Phone (843) 347-2450

135 Professional Park Dr
Conway, SC 29526-9261
Phone (843) 347-2450

3600 Sea Mountain Hwy
Suite D
Little River, SC 29566-8161
Phone (843) 347-2450

809 82ND Pkwy
Unit B
Myrtle Beach, SC 29572-4607
Phone (843) 347-2450

823 82ND Pkwy
Myrtle Beach, SC 29572-4607
Phone (843) 347-2450

827 82ND Pkwy
Myrtle Beach, SC 29572-4607
Phone (843) 347-2450

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5724SCMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Atlantic Urology Clinics LLC Past Accepting new patients

Organizations & group practices 2

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

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1729728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777507200000",
    "number": "1215758990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "823 82ND PKWY",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295724607",
            "telephone_number": "843-449-1010",
            "fax_number": "843-497-6171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "823 82ND PKWY",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295724607",
            "telephone_number": "843-449-1010",
            "fax_number": "843-497-6171"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3600 Sea Mountain Hwy Ste D",
            "address_purpose": "LOCATION",
            "city": "Little River",
            "state": "SC",
            "postal_code": "295668161",
            "country_code": "US",
            "telephone_number": "843-399-8930",
            "fax_number": "843-399-8932",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "809 82nd Pkwy Ste B",
            "address_purpose": "LOCATION",
            "city": "Myrtle Beach",
            "state": "SC",
            "postal_code": "295724607",
            "country_code": "US",
            "telephone_number": "843-449-1010",
            "fax_number": "843-497-6171",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "135 Professional Park Dr",
            "address_purpose": "LOCATION",
            "city": "Conway",
            "state": "SC",
            "postal_code": "295269261",
            "country_code": "US",
            "telephone_number": "843-347-8765",
            "fax_number": "843-236-4746",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1255 Tadlock Dr",
            "address_purpose": "LOCATION",
            "city": "Murrells Inlet",
            "state": "SC",
            "postal_code": "295767973",
            "country_code": "US",
            "telephone_number": "843-293-0446",
            "fax_number": "843-293-0448",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "309 Hinson Dr",
            "address_purpose": "LOCATION",
            "city": "Myrtle Beach",
            "state": "SC",
            "postal_code": "295794435",
            "country_code": "US",
            "telephone_number": "843-236-4949",
            "fax_number": "843-236-4746",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GERALD",
        "first_name": "KAYLA",
        "middle_name": "SHANIECE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-24",
        "last_updated": "2026-04-30",
        "certification_date": "2026-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "5724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Myrtle Beach, SC

Sources for this page

Verify at the official NPI Registry.