Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Katherine Mary Siedor, PA

Individual provider Medical Physician Assistant · NPI 1285013458

Katherine Mary Siedor, PA is a Physician Assistant in Lawrenceville, Georgia. Graduated from Mercer University School of Medicine in 2015, 11 years ago. Practices with Babcock Dermatology PC, a 4-clinician group and accepts Medicare assignment.

Years since qualifying
11
Trained at
Mercer University School of Medicine
In the registry since
2015
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

766 Walther Rd Ste 100
Lawrenceville, GA 30046-8764
Phone: (678) 312-9100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X

Record details

NPI number1285013458
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedMay 21, 2015
Last updated in NPPESMay 21, 2015

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolMERCER UNIVERSITY SCHOOL OF MEDICINE
Graduated 2015 (11 years in practice)
Group practice Babcock Dermatology Pc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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