NPI age
17 years
Enumerated 2008-11-05
● Active
Type 1 · Individual
MRS. Kathy S Poodiack, PA-C
Poodiack is 1 of 22 physician assistant providers in Austell and 1 of 1333 in Georgia.
Primary specialty
Physician Assistant
Licensed in
FL
1 state
Status
Active
No deactivations on record
Last NPPES update
2009-11-10
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
17 years
↑ 2 yr above median (15 yr)
State licenses
1 state
7% of peers hold multiple states
Subspecialties
0
21% of peers hold subspecialties
NPI lifetime · 2008 → 2026
2008-11Enumerated in NPPES
2008
2026
Where they practice
Practice location
1700 Hospital South Drive, Suite 300
Austell, GA 301068116
Mailing address
1700 Hospital South Drive, Suite 300
Austell, GA 301068116
Specialties
-
Physician Assistant PrimaryDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 002325 | STATE MEDICAL LICENSE |
| 01 (GA) | GRP245 | MEDICARE, GROUP NUMBER |
Practice context
Part of a multi-provider practice. 5 other active providers share this practice address in NPPES.
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Request a quote →How to verify this provider
- 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.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.