Individual provider Active NPI

Katherine Carmen Lochiatto, LAT, ATC

  • Physician Assistant
  • Braselton, GA
National Provider Identifier
1295217412
Registry record updated Dec 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
12751 Issued in GA
Practice address
1229 Friendship Rd # 100
Braselton, GA 30517-5608
Phone
(770) 532-7202
NPI assigned
Sep 4, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X AT003469 GA
Physician Assistant 363A00000X 12751 GA Primary

Addresses

Primary practice location

1229 Friendship Rd # 100
Braselton, GA 30517-5608

Mailing address

3053 Abba Dr
Augusta, GA 30909-6715
Phone (508) 472-9270

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250128004191 GA Practitioner - Physician Assistant 0345779898 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Specialty Orthopaedics PCGroup PAC ID 6305805615, 19 clinicians
Physiotherapy Associates IncGroup PAC ID 3577470442, shared by 50 NPIs, 1,432 clinicians

Practice addresses (Care Compare)

1229 Friendship Rd
Suite 100
Braselton, GA 30517-5608
Phone (770) 534-7200

1240 Jesse Jewell Pkwy SE
Suite 300
Gainesville, GA 30501-3861
Phone (770) 534-7200

1240 Jesse Jewell SE Pkwy
Suite 300
Gainesville, GA 30501-3861

1321 Interstate Pkwy
Augusta, GA 30909-5626
Phone (706) 945-0810

4700 Nelson Brogdon Blvd
Suite 240
Buford, GA 30518-5401
Phone (770) 271-3188

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
AT003469GAMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Specialty Orthopaedics, PC CurrentSince Jan 6, 2025 Accepting new patients

Locations

1229 Friendship Rd
#100
Braselton, GA 30517
Phone (770) 532-7202

81 Prominence Ct
#100
Dawsonville, GA 30534
Phone (770) 532-7202

2320 Peachtree Industrial Blvd
Ste 103
Duluth, GA 30097
Phone (770) 532-7202

1240 Jesse Jewell Pkwy SE
Ste 300
Gainesville, GA 30501
Phone (770) 532-7202

Interoperability endpoints

  • Direct secure messaging: klochiatto@specialtyorthoga.emadirect.md

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1536019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733788800000",
    "number": "1295217412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3053 ABBA DR",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309096715",
            "telephone_number": "508-472-9270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1229 FRIENDSHIP RD # 100",
            "city": "BRASELTON",
            "state": "GA",
            "postal_code": "305175608",
            "telephone_number": "770-532-7202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOCHIATTO",
        "first_name": "KATHERINE",
        "middle_name": "CARMEN",
        "credential": "LAT, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-04",
        "last_updated": "2024-12-10",
        "certification_date": "2024-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "GA",
            "license": "AT003469",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "12751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Braselton, GA

Sources for this page

Verify at the official NPI Registry.