DR. CALEB JAMES BOTTA MD
NPI 1336778901
Pediatrics in Gainesville, GA

Q: What is Caleb Botta's NPI number?

The NPI number for Caleb Botta is 1336778901. It was assigned to this individual provider in the NPPES registry on April 6, 2020.

Q: What is Caleb Botta's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Caleb Botta was last updated on August 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since April 06, 2020PECOS Enrolled

725 JESSE JEWELL PKWY SE, GAINESVILLE, GA 30501(770) 535-3611(770) 535-7092 Get Directions Write a Review

NPPES record last updated: August 17, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 17, 2023, Aug 9, 2023, Jun 19, 2023 and 3 more (6 updates tracked since 2020).

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About Dr. Caleb James Botta Md NPPES

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

DR. CALEB JAMES BOTTA MD (NPI 1336778901) is an individual pediatrics provider in Gainesville, Georgia, licensed in Georgia (95632) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1336778901

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameDR. CALEB JAMES BOTTACredential: MD

Location Address725 JESSE JEWELL PKWY SEGainesville, GA 30501-3834

Mailing AddressPo Box 658Gainesville, GA 30503-0658 · (770) 533-6511 · Fax (770) 533-4786

Phone(770) 535-3611

Fax(770) 535-7092

Sole ProprietorNo

Enumeration DateApril 6, 2020

Last NPPES UpdateAugust 17, 20236 updates tracked since enumeration

NPPES CertifiedAugust 17, 2023

✔ NPI 1336778901 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Licenses✔ Licensed in GA · 95632✔ Licensed in OH · 35.145505

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

725 JESSE JEWELL PKWY SE, Gainesville, GA 30501

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Other Identifiers 1

Medicaid0498170OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., CareSource.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)

Dr. Caleb James Botta Md 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30501 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

$94.84 typical visit price

range $16.68 – $133.24

Typical copayment $23.71 (range $4.17 – $33.31)

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 20

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

THE LONGSTREET CLINIC, PC

Clinical Medical Laboratory

725 JESSE JEWELL PKWY SE, SUITE 260
GAINESVILLE, GA 30501

Hall County (770) 535-0079

EILEEN JAVELLANA MD

Internal Medicine