Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1699812925 Deactivated / Inactive NPI Female Practitioner

Dr. Najeeba Bootwala , MD

Pediatrics • Stone Mountain, 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. Najeeba Bootwala has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 30, 2007
NPI Deactivation Date April 02, 2019
Total Practice Duration ~12 Years of Practice (2007 – 2019)

Professional Overview & Biography Verified Profile Summary

Dr. Najeeba Bootwala, MD was a registered Pediatrics practicing in Stone Mountain, GA. Throughout an active medical career spanning 12 years, Dr. Bootwala provided care at the practice location at 770 VILLAGE SQUARE DR until profile deactivation on 2019-04-02.

Practice Location & Contact Primary Location

Practice Address

770 Village Square Dr

Stone Mountain, GA 300833380

Telephone 4042988998
Fax 4042987658
Associated Practice Facility / Clinic
🏢 Medcura Health, Inc. Facility NPI 1417011487

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Stone Mountain, GA

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

Practicing in Stone Mountain, 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

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License GA 035212

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.

Practice Associates & Co-Workers

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

25 Associated Practitioners
Julie Knisely , FNP-BC

Nurse Practitioner - Family

NPI 1033708441

Family Nurse Practitioner (Board Certified)

Lashanda Moore , NP

Nurse Practitioner - Family

NPI 1205306891

Nurse Practitioner

NPI 1235162769

Doctor of Medicine (M.D.), Master of Public Health

Dr. Aarhea Hope , DNP, FNP-C

Nurse Practitioner - Family

NPI 1255131074

Doctor of Nursing Practice, Family Nurse Practitioner (Certified)

NPI 1255446647

Doctor of Osteopathic Medicine (D.O.)

NPI 1285656181

Doctor of Podiatric Medicine, Master of Science

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 April 02, 2019

Record deactivated on April 02, 2019

NPI Profile Active February 13, 2012

NPI status registered as active in NPPES database

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Updated Practice Location February 13, 2012

Registered at 770 VILLAGE SQUARE DR, STONE MOUNTAIN, GA 300833380 (Tel: 4042988998)

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Updated Business Mailing Address February 13, 2012

Registered at 770 VILLAGE SQUARE DR, STONE MOUNTAIN, GA 300833380 (Tel: 4042988998)

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Provider Name / Credentials Updated February 13, 2012

Recorded as NAJEEBA BOOTWALA, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) February 13, 2012

Pediatrics (License #035212 in GA)

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Initial NPI Registration & Enumeration January 30, 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: 1699812925
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 30, 2007
Last Update: February 13, 2012
Deactivation Date: April 02, 2019

Mailing Address

770 Village Square Dr

Stone Mountain, GA 300833380

Phone: 4042988998

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.