Individual provider Active NPI

Makayla Dudley, PHARMD, PA-C

  • Physician Assistant
  • Leesburg, VA
National Provider Identifier
1861097073
Registry record updated Apr 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0110011546 Issued in VA
Practice address
44055 Riverside Pkwy Ste 238
Leesburg, VA 20176-5178
Phone
(703) 858-8878
Fax
(703) 858-8170
NPI assigned
Dec 3, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MA063922 PA
Physician Assistant 363A00000X 0110011546 VA Primary
Pharmacist 183500000X 42681 SC
Medical Physician Assistant 363AM0700X MA063922 PA

Addresses

Primary practice location

44055 Riverside Pkwy Ste 238
Leesburg, VA 20176-5178

Mailing address

44055 Riverside Pkwy Ste 238
Leesburg, VA 20176-5178
Phone (703) 858-8878

Other practice location 1

3865 W Ashley Cir
Charleston, SC 29414-9207
Phone (843) 619-2921

Other practice location 2

801 Ostrum St
Bethlehem, PA 18015-1000
Phone (866) 785-8537

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, GA, VA, DC4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20221123000525 PA Practitioner - Physician Assistant 5294103297 Reassigns benefits to 2 organizations
I20231113003232 GA Practitioner - Physician Assistant 5294103297 Reassigns benefits to 1 organization
I20260325001822 VA Practitioner - Physician Assistant 5294103297 Reassigns benefits to 1 organization
I20260331001974 DC Practitioner - Physician Assistant 5294103297 Reassigns benefits to 2 organizations

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
Medstar Medical Group II LLCGroup PAC ID 0547413825, 3,726 clinicians
Grady Memorial Hospital CorporationGroup PAC ID 7517032998, 365 clinicians
Inova Health Care ServicesGroup PAC ID 2466351093, 1,821 clinicians

Practice addresses (Care Compare)

1145 19TH St NW
311 MMG at 19TH Street NW
Washington, DC 20036-3735
Phone (202) 429-2401

22 Piedmont Ave SE
3Rd Floor
Atlanta, GA 30303-3050
Phone (404) 616-2215

44045 Rivderside Pkwy
Leesburg, VA 20176-5101
Phone (703) 771-2960

56 Jesse Hill Jr Dr SE
Atlanta, GA 30303-3031
Phone (404) 616-1000

80 Jesse Hill Jr Dr SE
Atlanta, GA 30303-3031

80 Jesse Hill Jr Dr SE
Atlanta, GA 30303-3050
Phone (404) 616-8880

Hospital & facility affiliations

  • Inova Loudoun Hospital Hospital, Leesburg, VA, CCN 490043
  • Grady Memorial Hospital Hospital, Atlanta, GA, CCN 110079
  • Medstar Washington Hospital Center Hospital, Washington, DC, CCN 090011

Merit-based Incentive Payment System (MIPS)

Final score
97.13 of 100Reported as apm
Quality
82.27
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
96.48 of 100Reported as group
Quality
87.56
Promoting interoperability
100
Improvement activities
40
Cost
75.14

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant, Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
42681SCMDPharmacist
0110011546VAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Grady Memorial Hospital Corporation CurrentSince Oct 2, 2023 Accepting new patients
Grady Memorial Hospital Corporation CurrentSince Oct 2, 2023 Accepting new patients
St. Luke'S Physician Group, Inc. CurrentSince Oct 24, 2022 Accepting new patients
St Luke'S Physician Group Inc CurrentSince Oct 24, 2022 Accepting new patients
Harris Teeter LLC PastSince Dec 1, 2020 Accepting new patients
Gslpg Inc Past Accepting new patients
St. Luke'S Physician Group, Inc Past Accepting new patients

Locations

80 Jesse Hill Jr Dr SE
Atlanta, GA 30303
Phone (404) 616-4370

80 Jesse Hill Jr Dr SE
#26019
Atlanta, GA 30303
Phone (404) 616-2219

1736 Hamilton St
Allentown, PA 18104
Phone (610) 770-8300

421 Chew St
Allentown, PA 18102
Phone (610) 776-4500

250 S 21st St
Easton, PA 18042
Phone (610) 250-4300

1872 St Lukes Blvd
Easton, PA 18045
Phone (484) 503-1200

2200 St Lukes Blvd
Easton, PA 18045
Phone (484) 503-0628

709 Delaware Ave
Fountain Hill, PA 18015
Phone (610) 954-3890

701 Ostrum St
Fountain Hill, PA 18015
Phone (215) 707-5067

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

500 St Lukes Dr
Lehighton, PA 18235
Phone (484) 464-4340

211 N 12th St
Lehighton, PA 18235
Phone (610) 377-1300

100 Paramount Blvd
Orwigsburg, PA 17961
Phone (272) 639-1000

3000 St Lukes Dr
Quakertown, PA 18951
Phone (215) 538-4500

100 St Lukes Ln
Stroudsburg, PA 18360
Phone (272) 212-1000

Interoperability endpoints

  • Direct secure messaging: makayla.dudley@slpg.direct-sluhn.org

Organizations & group practices 11

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.

Hospital & facility affiliations 4

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": "1606953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775520000000",
    "number": "1861097073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44055 RIVERSIDE PKWY STE 238",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201765178",
            "telephone_number": "703-858-8878",
            "fax_number": "703-858-8170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44055 RIVERSIDE PKWY STE 238",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201765178",
            "telephone_number": "703-858-8878",
            "fax_number": "703-858-8170"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3865 W Ashley Cir",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "SC",
            "postal_code": "294149207",
            "country_code": "US",
            "telephone_number": "843-619-2921",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "801 Ostrum St",
            "address_purpose": "LOCATION",
            "city": "Bethlehem",
            "state": "PA",
            "postal_code": "180151000",
            "country_code": "US",
            "telephone_number": "866-785-8537",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUDLEY",
        "first_name": "MAKAYLA",
        "credential": "PHARMD, PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-03",
        "last_updated": "2026-04-07",
        "certification_date": "2026-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA063922",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110011546",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "SC",
            "license": "42681",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA063922",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leesburg, VA

Sources for this page

Verify at the official NPI Registry.