MANUELA BOTERO
NPI 1194252379
Anesthesiologist Assistant in Lawrenceville, GA

Active since May 18, 2017
1209 LOCHSHYRE CT, LAWRENCEVILLE, GA 30043(404) 966-5071 Get Directions Write a Review

NPPES record last updated: January 21, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 21, 2026, Jan 9, 2026, May 18, 2017 (3 updates tracked since 2017).

About Manuela Botero NPPES

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

MANUELA BOTERO (NPI 1194252379) is an individual anesthesiologist assistant in Lawrenceville, Georgia, licensed in Florida (AA1175) and active in the NPI registry since May 2017. She is affiliated with Hca Florida North Florida Hospital and is a graduate of Other (2017).

NPPES Registry Identity

NPI1194252379
Entity TypeIndividualFemale
Primary Taxonomy367H00000X
Provider Legal NameMANUELA BOTERO
Location Address1209 LOCHSHYRE CTLawrenceville, GA 30043-4474
Mailing Address1209 Lochshyre CtLawrenceville, GA 30043-4474
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateMay 18, 2017
Last NPPES UpdateJanuary 21, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 21, 2026
✔ NPI 1194252379 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologist AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367H00000X
License✔ Licensed in FL · AA1175
Definition
An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.
1209 LOCHSHYRE CT, Lawrenceville, GA 30043

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Manuela Botero is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7517225980
PECOS Enrollment IDI20171213002213, I20260121004314

Medicare Billing Reassignments

7

Medicare enrollment records show Manuela Botero reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Anesthesiology
1700 MEDICAL WAY
Snellville, GA 30078
  • Reassigned Medicare billing, Georgia enrollment
  • 156 clinicians in this Medicare group
Anesthesiology
2171 WEST PARK COURT, SUITE A
Stone Mountain, GA 30087
  • Reassigned Medicare billing, Georgia enrollment
  • 650 clinicians in this Medicare group
Anesthesiology
5665 PEACHTREE DUNWOODY RD NE
Atlanta, GA 30342
  • Reassigned Medicare billing, Georgia enrollment
  • 179 clinicians in this Medicare group
Psychologist
1000 JOHNSON FERRY RD NE
Atlanta, GA 30342
  • Reassigned Medicare billing, Georgia enrollment
  • 783 clinicians in this Medicare group
Anesthesiology
1945 BEVERLY RD
Gainesville, GA 30501
  • Reassigned Medicare billing, Georgia enrollment
  • 30 clinicians in this Medicare group
Anesthesiology
449 W 23RD ST
Panama City, FL 32405
  • Reassigned Medicare billing, Florida enrollment
  • 528 clinicians in this Medicare group
Anesthesiology
206 2ND ST E
Bradenton, FL 34208
  • Reassigned Medicare billing, Georgia enrollment
  • 386 clinicians in this Medicare group

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

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Hca Florida North Florida Hospital

Acute Care Hospitals · Gainesville, FL
2/5 CMS rating
OwnershipProprietary
CMS Certification Number100204
Location6500 W Newberry RdGainesville, FL 32605 · Alachua County
Emergency services Birthing friendly

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 Manuela Botero's NPI number?

The NPI number for Manuela Botero is 1194252379. It was assigned to this individual provider in the NPPES registry on May 18, 2017.

Where is Manuela Botero located?

Manuela Botero practices at 1209 Lochshyre Ct, Lawrenceville, GA 30043. The listed phone number is (404) 966-5071.

What is Manuela Botero's specialty?

The primary specialty registered for this NPI is Anesthesiologist Assistant with taxonomy code 367H00000X.

Is Manuela Botero enrolled in Medicare?

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

Which organizations bill Medicare for Manuela Botero's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Manuela Botero reassigns Medicare benefits to 7 organizations: Premier Anesthesia Of Georgia LLC (Snellville, GA), American Anesthesiology Associates Of Georgia, LLC (Stone Mountain, GA), Physician Specialists In Anesthesia, P.C. (Atlanta, GA), North Atlanta Professional Services LLC (Atlanta, GA), Ad Of Georgia PC (Gainesville, GA) and 2 more organizations, 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 Manuela Botero's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Manuela Botero accept?

Health plans from Alliant Health Plans, Inc., Oscar Health and Oscar Insurance Company list Manuela Botero as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Manuela Botero affiliated with any hospitals?

According to CMS data, Manuela Botero is affiliated with Hca Florida North Florida Hospital.

When was this NPI record last updated?

The NPPES record for Manuela Botero was last updated on January 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.