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: August 09, 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 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, and ordering and referring status from the CMS PECOS system.

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

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.

What insurance does Manuela Botero accept?

Health plans from Alliant Health Plans, Inc. 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.

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 6 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.