Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1336778901 Individual Practitioner Male Practitioner

Dr. Caleb James Botta , MD

Pediatrics • Gainesville, GA

Professional Overview & Biography Verified Profile Summary

Dr. Caleb Botta, MD is a registered healthcare professional specializing in Pediatrics in Gainesville, GA. Practice services are available at 725 JESSE JEWELL PKWY SE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

725 Jesse Jewell Pkwy Se

Gainesville, GA 305013834

Telephone 7705353611
Fax 7705357092
Associated Practice Facility / Clinic
🏢 The Longstreet Clinic, Pc Facility NPI 1326019977

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Gainesville, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.2 Yrs
Regional Practice Density
39 Specialists

Practicing in Gainesville, GA (2326 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

CMS Verified: 2023-08-17
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License GA 95632

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License OH 35.145505

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
0498170 (OH)

Secondary Practice Locations

1 Childrens Plz

Dayton, OH 454041873

Phone: 9376413433

1400 River Pl

Braselton, GA 305175600

Phone: 7705353611

743 Spring St Ne

Gainesville, GA 305013715

Phone: 7705353611

155 Professional Dr

Baldwin, GA 305114000

Phone: 7067762368

4019 Executive Dr

Oakwood, GA 305662825

Phone: 7705336500

1270 Friendship Rd

Braselton, GA 305175630

Phone: 6782074000

8501 Old Troy Pike

Huber Heights, OH 454241054

Phone: 9376414360

8809 Wilkens Blvd

Mason, OH 450407390

Phone: 5137016907

3301 Dayton Xenia Rd Ste 200

Beavercreek, OH 454322759

Phone: 9376415098

662 N Main St

Springboro, OH 450669553

Phone: 9376415066

7787 Cox Ln

West Chester, OH 450696549

Phone: 9376415757

3333 W Tech Rd

Miamisburg, OH 453420955

Phone: 9376415725

4095 S Lee St

Buford, GA 305183647

Phone: 7709328579

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
NPI 1043290307

Doctor of Medicine (M.D.)

NPI 1053391979

Doctor of Medicine (M.D.)

Julie Chapman , PA

Physician Assistant - Medical

NPI 1073550059

Physician Assistant

NPI 1073730032

Registered Nurse, Master of Science, Certified Pediatric Nurse Practitioner, NNPBC

Stephanie Debski , NNP-BC

Nurse Practitioner - Neonatal, Critical Care

NPI 1083056931

NNPBC

Marisa Breen

Nurse Practitioner - Acute Care

NPI 1083240154

Career & Practice History Timeline

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

10 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 17, 2023

Student in an Organized Health Care Education/Training Program

📍
Updated Practice Location June 19, 2023

Registered at 725 JESSE JEWELL PKWY SE, GAINESVILLE, GA 305013834 (Tel: 7705353611)

📍
Updated Business Mailing Address June 19, 2023

Registered at PO BOX 658, GAINESVILLE, GA 305030658 (Tel: 7705336511)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 19, 2023

Pediatrics (License #35.145505 in OH)

NPI Profile Active April 06, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location April 06, 2020

Registered at 1 CHILDRENS PLZ, DAYTON, OH 454041873 (Tel: 9376413433)

📍
Updated Business Mailing Address April 06, 2020

Registered at 1 CHILDRENS PLZ, DAYTON, OH 454041873 (Tel: 9376413433)

👤
Provider Name / Credentials Updated April 06, 2020

Recorded as CALEB BOTTA, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 06, 2020

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration April 06, 2020

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: 1336778901
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 06, 2020
Last Update: August 17, 2023
Sole Proprietor: No

Mailing Address

Po Box 658

Gainesville, GA 305030658

Phone: 7705336511

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.