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

Kathleen M. Boettcher, PA-C

Individual provider Physician Assistant · NPI 1669472551

Kathleen M. Boettcher, PA-C is a Physician Assistant in Cumming, Georgia. Qualified in 2004, 22 years ago. Practices with Heart and Vascular Care, LLC, a 45-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Georgia, North Carolina and Wisconsin.

Years since qualifying
22
Licensed in
GA, NC, WI
In the registry since
2005
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

3970 Deputy Bill Cantrel Memoiral Rd
Cumming, GA 30040
Phone: (678) 513-2273
Fax: (678) 513-8869
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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 · Licence 6565 (GA)
Physician Assistant Taxonomy 363A00000X · Licence 0010-00745 (NC)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 1775-023 (WI)

Record details

NPI number1669472551
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 21, 2005
Last updated in NPPESSeptember 2, 2016

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Heart And Vascular Care, Llc — 45 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Cumming