MRS. KATHY S POODIACK PA-C
NPI 1700030624
Physician Assistant - Medical in Austell, GA

Active since November 05, 2008
1700 HOSPITAL SOUTH DRIVE, SUITE 300, AUSTELL, GA 30106(770) 944-2830(678) 581-7170 Get Directions Write a Review

NPPES record last updated: November 10, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mrs. Kathy S Poodiack Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. KATHY S POODIACK PA-C (NPI 1700030624) is an individual medical provider in Austell, Georgia, licensed in Florida (PA9104850) and active in the NPI registry since November 2008.

NPPES Registry Identity

NPI1700030624
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMRS. KATHY S POODIACKCredential: PA-C
Location Address1700 HOSPITAL SOUTH DRIVE, SUITE 300Austell, GA 30106-8116
Mailing Address1700 Hospital South Drive, Suite 300Austell, GA 30106-8116 · (770) 944-2830 · Fax (678) 581-7170
Fax(678) 581-7170
Sole ProprietorNo
Enumeration DateNovember 5, 2008
Last NPPES UpdateNovember 10, 2009
NPI 1700030624 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in FL · PA9104850
1700 HOSPITAL SOUTH DRIVE, Austell, GA 30106

Other Names 1

Former Name (1)Kathy S Ackerman

Other Identifiers 2

OtherGRP245GA · Medicare, Group Number
Other002325GA · State Medical License

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Infectious Disease)
1700 HOSPITAL SOUTH DRIVE, SUITE 402
AUSTELL, GA 30106
Internal Medicine (Infectious Disease)
1700 HOSPITAL SOUTH DRIVE, SUITE 402
AUSTELL, GA 30106
Internal Medicine (Hematology & Oncology)
1700 HOSPITAL SOUTH DRIVE, SUITE 102
AUSTELL, GA 30106
Internal Medicine (Infectious Disease)
1700 HOSPITAL SOUTH DRIVE, SUITE 402
AUSTELL, GA 30106
Prosthetic/Orthotic Supplier
1700 HOSPITAL SOUTH DRIVE, SUITE 406
AUSTELL, GA 30106

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kathy Poodiack's NPI number?

The NPI number for Kathy Poodiack is 1700030624. It was assigned to this individual provider in the NPPES registry on November 5, 2008. The provider is also known as Kathy S Ackerman.

Where is Kathy Poodiack located?

Kathy Poodiack practices at 1700 Hospital South Drive Suite 300, Austell, GA 30106. The listed phone number is (770) 944-2830.

What is Kathy Poodiack's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Kathy Poodiack was last updated on November 10, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.