Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 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

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

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients41
Services billed 41 a service is one billed item, such as a visit, a test or a procedure
Average patient age72

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Colleagues at Premier Anesthesia of Georgia LLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 62 clinicians in the practice; 12 are shown here.

Other providers in Lawrenceville