Individual provider Active NPI

Makayla Beth Wheatley, PA-C

  • Physician Assistant
  • Fairhope, AL
National Provider Identifier
1245984970
Registry record updated Jul 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
210 Greeno Rd N
Fairhope, AL 36532-2914
Phone
(251) 277-5300
Fax
(251) 277-5301
NPI assigned
Feb 10, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 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 Primary

Addresses

Primary practice location

210 Greeno Rd N
Fairhope, AL 36532-2914

Mailing address

210 Greeno Rd N
Fairhope, AL 36532-2914
Phone (251) 277-5300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, AL2 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
I20220902001876 KY Practitioner - Physician Assistant 5092199489 Reassigns benefits to 3 organizations
I20260507002118 AL Practitioner - Physician Assistant 5092199489 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physician Services of the Gulf Coast LLCGroup PAC ID 8426301607, 32 clinicians

Practice addresses (Care Compare)

10719 Eastern Shore Boulevard
Spanish Fort, AL 36527-6042
Phone (251) 270-0900

210 Greeno Rd N
Fairhope, AL 36532-2914
Phone (251) 277-5300

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Taylor Regional Medical Group LLC CurrentSince Mar 5, 2024 Accepting new patients
Primary Care Medical Center Inc Physician Assistant Current Accepting new patients
VMD Primary Providers Central Kentucky CurrentSince Jan 17, 2022 Accepting new patients
Taylor Regional Medical Group,LLC CurrentSince Mar 5, 2024 Accepting new patients
Taylor Regional Medical Group Past Accepting new patients
Physician Services of the Gulf Coast LLC PastSince May 1, 2023 Accepting new patients

Locations

125 Kingswood Dr
Campbellsville, KY 42718
Phone (270) 789-1112

1698 Old Lebanon Rd
Campbellsvlle, KY 42718
Phone (270) 465-3561

1700 Old Lebanon Rd
Campbellsvlle, KY 42718
Phone (270) 465-3561

325 W Walnut St
Ste 600
Lebanon, KY 40033
Phone (270) 699-9500

1000 S 12th St
Murray, KY 42071
Phone (270) 759-9200

Organizations & group practices 8

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": "1644451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784592000000",
    "number": "1245984970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 GREENO RD N",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365322914",
            "telephone_number": "251-277-5300",
            "fax_number": "251-277-5301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 GREENO RD N",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365322914",
            "telephone_number": "251-277-5300",
            "fax_number": "251-277-5301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHEATLEY",
        "first_name": "MAKAYLA",
        "middle_name": "BETH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-10",
        "last_updated": "2026-07-21",
        "certification_date": "2026-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairhope, AL

Sources for this page

Verify at the official NPI Registry.