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

Kristina Poss Boccucci, PA

Individual provider Orthopaedic Surgery Physician · NPI 1740769132

Kristina Poss Boccucci, PA is a Physician Assistant in Watkinsville, Georgia. Qualified in 2024, 2 years ago. Practices with Piedmont Athens Specialty Care LLC, a 116-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
2
Licensed in
GA
In the registry since
2018
Specialties on file
2
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

1305 Jennings Mill Rd Bldg 300-110
Watkinsville, GA 30677-7238
Phone: (706) 613-5880
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4234 Waylon Dr, Martinez, GA 30907-1346 — (404) 909-1220

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 12550 (GA)
Orthopaedic Surgery Physician Taxonomy 207X00000X · Licence 12550 (GA)

Record details

NPI number1740769132
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedAugust 7, 2018
Last updated in NPPESNovember 5, 2024
Certification dateNovember 5, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Piedmont Athens Specialty Care Llc — 116 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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