BOTTS DIABETES & ENDOCRINOLOGY
NPI 1477044717
Nurse Practitioner - Family in Lebanon, TN

Active since May 22, 2018
1420 W BADDOUR PKWY STE 200, LEBANON, TN 37087(615) 444-4126 Get Directions Write a Review

NPPES record last updated: March 19, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 27, 2019, May 22, 2018 (2 updates tracked since 2018).

About Botts Diabetes & Endocrinology NPPES

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

BOTTS DIABETES & ENDOCRINOLOGY (NPI 1477044717) is a healthcare organization registered as a family in Lebanon, Tennessee and active in the NPI registry since May 2018. The organization lists Dara W Botts, Owner, as its authorized official.

NPPES Registry Identity

NPI1477044717
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameBOTTS DIABETES & ENDOCRINOLOGY
Location Address1420 W BADDOUR PKWY STE 200Lebanon, TN 37087-1510
Mailing Address1420 W Baddour Pkwy Ste 200Lebanon, TN 37087-1510 · (615) 444-4126
Organization SubpartNo
Authorized OfficialDara W BottsOwner · (615) 444-4126
Enumeration DateMay 22, 2018
Last NPPES UpdateMarch 19, 20242 updates tracked since enumeration
NPPES CertifiedMarch 19, 2024
✔ NPI 1477044717 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
1420 W BADDOUR PKWY STE 200, Lebanon, TN 37087

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Botts Diabetes & Endocrinology is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Botts Diabetes & Endocrinology, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Nurse Practitioner
NPI 1982826004
1420 W BADDOUR PKWY STE 200
Lebanon, TN 37087
(154) 444-4126
✔ PECOS✔ Accepts MedicareSame address
Endocrinology
NPI 1992790174
3901 CENTRAL PIKE STE 555
Hermitage, TN 37076
(615) 874-9667
✔ PECOS✔ Accepts Medicare16 mi

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

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 Botts Diabetes & Endocrinology's NPI number?

The NPI number for Botts Diabetes & Endocrinology is 1477044717. It was assigned to this organization in the NPPES registry on May 22, 2018.

Where is Botts Diabetes & Endocrinology located?

Botts Diabetes & Endocrinology is located at 1420 W Baddour Pkwy Ste 200, Lebanon, TN 37087. The listed phone number is (615) 444-4126.

What is Botts Diabetes & Endocrinology's specialty?

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

Is Botts Diabetes & Endocrinology enrolled in Medicare?

Yes. Botts Diabetes & Endocrinology is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Botts Diabetes & Endocrinology?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Botts Diabetes & Endocrinology, in Endocrinology and Nurse Practitioner. A 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 the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Botts Diabetes & Endocrinology was last updated on March 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.