Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Manuela Botero

Individual provider Anesthesiologist Assistant · NPI 1194252379

Manuela Botero is an Anesthesiology Assistant in Lawrenceville, Georgia. Qualified in 2017, 9 years ago. Practices with Premier Anesthesia of Georgia LLC, a 62-clinician group. Licensed in Florida.

Years since qualifying
9
Licensed in
FL
In the registry since
2017

Practice location Address checks out

1209 Lochshyre Ct
Lawrenceville, GA 30043-4474
Phone: (404) 966-5071
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiologist Assistant (primary) Taxonomy 367H00000X · Licence AA1175 (FL)

Record details

NPI number1194252379
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 18, 2017
Last updated in NPPESJanuary 21, 2026
Certification dateJanuary 21, 2026
Mailing address1209 Lochshyre Ct, Lawrenceville, GA 30043-4474

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyANESTHESIOLOGY ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Premier Anesthesia Of Georgia Llc — 62 clinicians
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Lawrenceville