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Deactivated NPI 1053518381 Deactivated / Inactive NPI Male Practitioner

Dr. Robert Stanley Botnick , MD

Internal Medicine • Evans, GA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Robert Botnick has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 29, 2007
NPI Deactivation Date July 17, 2020
Total Practice Duration ~13 Years of Practice (2007 – 2020)

Professional Overview & Biography Verified Profile Summary

Dr. Robert Botnick, MD was a registered Internal Medicine practicing in Evans, GA. Throughout an active medical career spanning 13 years, Dr. Botnick provided care at the practice location at 635 RONALD REGAN DRIVE until profile deactivation on 2020-07-17.

Practice Location & Contact Primary Location

Practice Address

635 Ronald Regan Drive

Evans, GA 308097602

Telephone 7068292584

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Evans, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 36.0 Yrs
State Avg: 25.9 Yrs
Regional Practice Density
16 Specialists

Practicing in Evans, GA (4065 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License GA 000030

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated July 17, 2020

Record deactivated on July 17, 2020

NPI Profile Active July 23, 2012

NPI status registered as active in NPPES database

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Updated Practice Location July 23, 2012

Registered at 635 RONALD REGAN DRIVE, EVANS, GA 308097602 (Tel: 7068292584)

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Updated Business Mailing Address July 23, 2012

Registered at 4117 HERITAGE RIDGE, EVANS, GA 308094047 (Tel: 7066510353)

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Provider Name / Credentials Updated July 23, 2012

Recorded as ROBERT BOTNICK, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 23, 2012

Internal Medicine (License #000030 in GA)

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Initial NPI Registration & Enumeration June 29, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1053518381
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 29, 2007
Last Update: July 23, 2012
Deactivation Date: July 17, 2020

Mailing Address

4117 Heritage Ridge

Evans, GA 308094047

Phone: 7066510353

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.