Individual provider Active NPI

Makenzie Ashlyn Gatewood, PA-C

  • Physician Assistant
  • Mobile, AL
National Provider Identifier
1467267252
Registry record updated Feb 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
3715 Dauphin St Ste 1100
Mobile, AL 36608-1785
Phone
(251) 607-9797
Fax
(251) 607-7696
NPI assigned
Feb 10, 2025
Last updated
Feb 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2025

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 AL Primary

Addresses

Primary practice location

3715 Dauphin St Ste 1100
Mobile, AL 36608-1785

Mailing address

6701 Airport Blvd Ste D330
Mobile, AL 36608-6758

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20250328002927 AL Practitioner - Physician Assistant 2264955335 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
Group practices

Practice addresses (Care Compare)

3715 Dauphin St
Suite 1100
Mobile, AL 36608-1785
Phone (251) 460-0078

6701 Airport Blvd
Suite D330
Mobile, AL 36608-6758
Phone (251) 607-9797

Suite
D330 6701 Airport Blvd
Mobile, AL 36608-6758

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2587ALMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiology Associates of Mobile Inc CurrentSince Jan 27, 2025 Accepting new patients

Locations

3715 Dauphin St
Ste 1100
Mobile, AL 36608
Phone (251) 460-0078

6701 Airport Blvd
Ste D330
Mobile, AL 36608
Phone (251) 607-9797

Interoperability endpoints

  • Direct secure messaging: makenziegatewood@cam.allscriptsdirect.net

Organizations & group practices 1

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": "1739145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739145600000",
    "number": "1467267252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6701 AIRPORT BLVD STE D330",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366086758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3715 DAUPHIN ST STE 1100",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366081785",
            "telephone_number": "251-607-9797",
            "fax_number": "251-607-7696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GATEWOOD",
        "first_name": "MAKENZIE",
        "middle_name": "ASHLYN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-10",
        "last_updated": "2025-02-10",
        "certification_date": "2025-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.