LYDIA JEAN BOTTENFIELD PA
NPI 1891456265
Physician Assistant - Medical in Peachtree City, GA

Q: What is Lydia Bottenfield's NPI number?

The NPI number for Lydia Bottenfield is 1891456265. It was assigned to this individual provider in the NPPES registry on January 6, 2022.

Q: What is Lydia Bottenfield's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Lydia Bottenfield was last updated on January 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 January 06, 2022

1201 GEORGIAN PARK, PEACHTREE CITY, GA 30269(770) 631-4873 Get Directions Write a Review

NPPES record last updated: January 6, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Lydia Jean Bottenfield Pa NPPES

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

LYDIA JEAN BOTTENFIELD PA (NPI 1891456265) is an individual medical provider in Peachtree City, Georgia, licensed in Georgia (10793) and active in the NPI registry since January 2022.

NPPES Registry Identity

NPI1891456265

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameLYDIA JEAN BOTTENFIELDCredential: PA

Location Address1201 GEORGIAN PARKPeachtree City, GA 30269-6972

Mailing Address1201 Georgian ParkPeachtree City, GA 30269-6972

Phone(770) 631-4873

Sole ProprietorNo

Enumeration DateJanuary 6, 2022

NPPES CertifiedJanuary 6, 2022

✔ NPI 1891456265 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in GA · 10793

1201 GEORGIAN PARK, Peachtree City, GA 30269

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Other Providers at the Same Location NPPES 3

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

LIFEBOAT MEDICAL ASSOCIATES 2, LLC

Obstetrics & Gynecology (Gynecology)

1201 GEORGIAN PARK
PEACHTREE CITY, GA 30269

Fayette County (770) 631-4873

SARA ALLISON O'HERON MD

Family Medicine

1201 GEORGIAN PARK
PEACHTREE CITY, GA 30269

Fayette County (770) 631-4873

LIFEBOAT MEDICAL ASSOCIATES

Specialist

1201 GEORGIAN PARK
PEACHTREE CITY, GA 30269

Fayette County (770) 631-4873

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 Lydia Bottenfield's NPI number?

The NPI number for Lydia Bottenfield is 1891456265. It was assigned to this individual provider in the NPPES registry on January 6, 2022.

Where is Lydia Bottenfield located?

Lydia Bottenfield practices at 1201 Georgian Park, Peachtree City, GA 30269. The listed phone number is (770) 631-4873.

What is Lydia Bottenfield's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Lydia Bottenfield was last updated on January 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.