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MR. JOHN DAVID BOTERO NP-C
NPI 1083921274
Nurse Practitioner - Family in Lawrenceville, GA

Active since September 09, 2010PECOS Enrolled
631 PROFESSIONAL DR STE 450, LAWRENCEVILLE, GA 30046(770) 963-8030(770) 339-9577 Get Directions Write a Review

NPPES record last updated: September 9, 2010. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mr. John David Botero Np-c NPPES

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

MR. JOHN DAVID BOTERO NP-C (NPI 1083921274) is an individual family provider in Lawrenceville, Georgia, licensed in Georgia (RN207415) and active in the NPI registry since September 2010. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083921274
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. JOHN DAVID BOTEROCredential: NP-C
Location Address631 PROFESSIONAL DR STE 450Lawrenceville, GA 30046-3370
Mailing Address631 Professional Dr Ste 450Lawrenceville, GA 30046-3370 · (770) 963-8030 · Fax (770) 339-9577
Phone(770) 963-8030
Fax(770) 339-9577
Sole ProprietorNo
Enumeration DateSeptember 9, 2010
✔ NPI 1083921274 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in GA · RN207415
631 PROFESSIONAL DR STE 450, Lawrenceville, GA 30046
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. John David Botero Np-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

6

Medicare enrollment records show John Botero reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Gwinnett Emergency Specialists Observation Services, LLC
0.1 mi
Emergency Medicine
1000 MEDICAL CENTER BLVD
Lawrenceville, GA 30046
  • Reassigned Medicare billing, Georgia enrollment
  • 134 clinicians in this Medicare group
NPI 1720373129 (954) 939-5000
Gwinnett Emergency Specialists, LLC
0.1 mi
Emergency Medicine
1000 MEDICAL CENTER BLVD
Lawrenceville, GA 30046
  • Reassigned Medicare billing, Georgia enrollment
  • 138 clinicians in this Medicare group
NPI 1437346467 (954) 939-5000
Cep America LLC
19 mi
Emergency Medicine
2801 DEKALB MEDICAL PKWY
Lithonia, GA 30058
  • Reassigned Medicare billing, Georgia enrollment
  • 128 clinicians in this Medicare group
NPI 1124073721 (404) 501-8700
Hartwell Emergency Physicians LLC
60 mi
Emergency Medicine
367 CLEAR CREEK RD
Lavonia, GA 30553
  • Reassigned Medicare billing, Georgia enrollment
  • 20 clinicians in this Medicare group
NPI 1467710152 (877) 693-5700
Phoebe Cancer Center Surgical Oncology
164 mi
Surgical Oncology
409 W 4TH AVE
Albany, GA 31701
  • Reassigned Medicare billing, Georgia enrollment
  • Medicare enrollment name: Phoebe Putney Memorial Hospital, Inc.
  • 264 clinicians in this Medicare group
NPI 1316193626 (229) 312-5080
Sound Physicians Emergency Medicine Of Georgia PC
779 mi
Emergency Medicine
3303 S MERIDIAN AVE
Oklahoma City, OK 73119
  • Reassigned Medicare billing, Georgia enrollment
  • 42 clinicians in this Medicare group
NPI 1447784988 (800) 962-3303

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
97 services93 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
64 services62 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
12 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30046 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
Most-billed visit code 99214
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 16

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

PRAVEEN SIVAKUMARAN MD
Internal Medicine (Hematology & Oncology)
631 PROFESSIONAL DR STE 450
LAWRENCEVILLE, GA 30046
Gwinnett County (770) 963-8030
KRISTEN COPELAND NP
Nurse Practitioner (Adult Health)
631 PROFESSIONAL DR STE 450
LAWRENCEVILLE, GA 30046
Gwinnett County (770) 963-8030
DAVE RAJ GUPTA M.P.H
Internal Medicine (Hematology & Oncology)
631 PROFESSIONAL DR STE 450
LAWRENCEVILLE, GA 30046
Gwinnett County (770) 963-8030
BAOTRANG LE PHARMD
Pharmacist (Oncology)
631 PROFESSIONAL DR STE 450
LAWRENCEVILLE, GA 30046
Gwinnett County (770) 963-8030
DR. VISHAL NAVNITRAY RANPURA MD
Internal Medicine (Hematology & Oncology)
631 PROFESSIONAL DR STE 450
LAWRENCEVILLE, GA 30046
Gwinnett County (770) 963-8030
HARIS HATIC D.O.
Internal Medicine (Hematology & Oncology)
631 PROFESSIONAL DR STE 450
LAWRENCEVILLE, GA 30046
Gwinnett County (770) 963-8030
DR. RAMANDEEP KAUR BAMBRAH MD
Internal Medicine (Medical Oncology)
631 PROFESSIONAL DR STE 450
LAWRENCEVILLE, GA 30046
Gwinnett County (770) 963-8030
ROSELINE T TUOPAEH MSN, APRN, FNP-C
Nurse Practitioner
631 PROFESSIONAL DR STE 450
LAWRENCEVILLE, GA 30046
Gwinnett County (709) 638-0307

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 John Botero's NPI number?

The NPI number for John Botero is 1083921274. It was assigned to this individual provider in the NPPES registry on September 9, 2010.

Where is John Botero located?

John Botero practices at 631 Professional Dr Ste 450, Lawrenceville, GA 30046. The listed phone number is (770) 963-8030.

What is John Botero's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is John Botero enrolled in Medicare?

Yes. John Botero is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for John Botero's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John Botero reassigns Medicare benefits to 6 organizations: Gwinnett Emergency Specialists Observation Services, LLC (Lawrenceville, GA), Gwinnett Emergency Specialists, LLC (Lawrenceville, GA), Cep America LLC (Lithonia, GA), Hartwell Emergency Physicians LLC (Lavonia, GA), Phoebe Cancer Center Surgical Oncology (Albany, GA) and 1 more organization, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for John Botero's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for John Botero was last updated on September 9, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.