Active NPI
Makayla Dudley, PHARMD, PA-C
- Physician Assistant
- Leesburg, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0110011546
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 4
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
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
- Grady Memorial Hospital
- Medstar Washington Hospital Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.13 of 100
- Quality
- 82.27
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.48 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 42681 | SC | MD | Pharmacist |
| 0110011546 | VA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grady Memorial Hospital Corporation | Current | Accepting new patients | |
| Grady Memorial Hospital Corporation | Current | Accepting new patients | |
| St. Luke'S Physician Group, Inc. | Current | Accepting new patients | |
| St Luke'S Physician Group Inc | Current | Accepting new patients | |
| Harris Teeter LLC | Past | 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
- 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.
-
- Family Medicine Physician
- Atlanta, GA
- NPI 1114243813
-
- Specialist
- Orwigsburg, PA
- NPI 1366006702
-
- Family Medicine Physician
- Bethlehem, PA
- NPI 1700984622
-
- Rehabilitation Hospital
- Atlanta, GA
- NPI 1336961119
-
- Family Medicine Physician
- Orwigsburg, PA
- NPI 1710845144
-
- Pediatric Gastroenterology Physician
- Fountain Hill, PA
- NPI 1295083426
-
- Family Medicine Physician
- Orwigsburg, PA
- NPI 1750848321
-
- Community/Retail Pharmacy
- Apex, NC
- NPI 1225856859
-
- Obstetrics & Gynecology Physician
- Bethlehem, PA
- NPI 1447801535
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Psychiatric Hospital Unit
- Leesburg, VA
- NPI 1285786228
-
- General Acute Care Hospital
- Leesburg, VA
- NPI 1376564302
-
- General Acute Care Hospital
- Atlanta, GA
- NPI 1992799050
-
- General Acute Care Hospital
- Washington, DC
- NPI 1548378235
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.