KRISTINA POSS BOCCUCCI PA
NPI 1740769132
Physician Assistant in Watkinsville, GA

Active since August 07, 2018PECOS EnrolledAccepts Medicare Assignment
1305 JENNINGS MILL RD BLDG 300-110, WATKINSVILLE, GA 30677(706) 613-5880 Get Directions Write a Review

NPPES record last updated: November 5, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 5, 2024, Sep 2, 2024, Jul 8, 2024 and 1 more (4 updates tracked since 2018).

About Kristina Poss Boccucci Pa NPPES

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

KRISTINA POSS BOCCUCCI PA (NPI 1740769132) is an individual physician assistant in Watkinsville, Georgia, licensed in Georgia (12550) and active in the NPI registry since August 2018. She is enrolled in Medicare PECOS, maintains a secondary practice location in Martinez, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1740769132
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKRISTINA POSS BOCCUCCICredential: PA
Location Address1305 JENNINGS MILL RD BLDG 300-110Watkinsville, GA 30677-7238
Mailing Address4234 Waylon DrMartinez, GA 30907-1346 · (404) 909-1220
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateAugust 7, 2018
Last NPPES UpdateNovember 5, 20244 updates tracked since enumeration
NPPES CertifiedNovember 5, 2024
NPI 1740769132 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in GA · 12550
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License 12550 (GA)
1305 JENNINGS MILL RD BLDG 300-110, Watkinsville, GA 30677

Secondary Practice Location 1

Location 14234 Waylon DrMartinez, GA 30907-1346 · Phone (404) 909-1220

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Kristina Poss Boccucci Pa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5092240721
PECOS Enrollment IDI20241119000544
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30677 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$66.89 typical visit price
range $16.68 – $133.24
Typical copayment $16.72 (range $4.17 – $33.31)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

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

Physician Assistant
1305 JENNINGS MILL RD BLDG 300-110
WATKINSVILLE, GA 30677
Orthopaedic Surgery
1305 JENNINGS MILL RD BLDG 300-110
WATKINSVILLE, GA 30677
Orthopaedic Surgery
1305 JENNINGS MILL RD BLDG 300-110
WATKINSVILLE, GA 30677
Nurse Practitioner
1305 JENNINGS MILL RD BLDG 300-110
WATKINSVILLE, GA 30677
Physician Assistant
1305 JENNINGS MILL RD BLDG 300-110
WATKINSVILLE, GA 30677
Physician Assistant
1305 JENNINGS MILL RD BLDG 300-110
WATKINSVILLE, GA 30677

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1740769132, enumerated as an "individual" on August 07, 2018.

The provider is located at 1305 JENNINGS MILL RD BLDG 300-110 WATKINSVILLE, GA 30677 and the phone number is (706) 613-5880.

Physician Assistant with taxonomy code 363A00000X.