NPI age
20 years
Enumerated 2005-07-21
● Active
Type 1 · Individual
Kathleen M. Boettcher, PA-C
Boettcher is 1 of 17 physician assistant providers in Cumming and 1 of 1333 in Georgia.
Primary specialty
Physician Assistant
Plus 2 subspecialties
Licensed in
GA, NC, WI
3 states
Status
Active
No deactivations on record
Last NPPES update
2016-09-02
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 1333 active physician assistant providers in Georgia.
NPI age
20 years
↑ 5 yr above median (15 yr)
State licenses
3 states
Top 92% — 7% of peers are multi-state
Subspecialties
1
In the 21% of peers with subspecialties
NPI lifetime · 2005 → 2026
2005-07Enumerated in NPPES
2005
2026
Where they practice
Practice location
3970 Deputy Bill Cantrel Memoiral Rd
Cumming, GA 30040
Mailing address
3970 Deputy Bill Cantrel Memoiral Rd
Cumming, GA 30040
Specialties
-
Physician Assistant PrimaryDefinition to come...
-
Physician AssistantA physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally...
Practice context
Solo or small practice. No other active providers share this practice address in NPPES.
Recently enumerated nearby: 1 new physician assistant provider has been added in Cumming in the last 180 days.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
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