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TIFFANI BOTTS PA-C
NPI 1316327877
Physician Assistant - Medical in St Petersburg, FL

Active since May 31, 2015PECOS Enrolled
5355 DR MARTIN LUTHER KING JR ST N, ST PETERSBURG, FL 33703(727) 344-9006 Get Directions Write a Review

NPPES record last updated: September 1, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 1, 2023, Aug 7, 2020, Jul 10, 2019 (3 updates tracked since 2019).

About Tiffani Botts Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TIFFANI BOTTS PA-C (NPI 1316327877) is an individual medical provider in St Petersburg, Florida, licensed in Florida (PA 9108711) and active in the NPI registry since May 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1316327877
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameTIFFANI BOTTSCredential: PA-C
Location Address5355 DR MARTIN LUTHER KING JR ST NSt Petersburg, FL 33703-2800
Mailing Address5355 Dr Martin Luther King Jr St NSt Petersburg, FL 33703-2800 · (727) 344-9006
Phone(727) 344-9006
Sole ProprietorNo
Enumeration DateMay 31, 2015
Last NPPES UpdateSeptember 1, 20233 updates tracked since enumeration
NPPES CertifiedSeptember 1, 2023
✔ NPI 1316327877 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in FL · PA 9108711
Also ListedPhysician AssistantTaxonomy 363A00000X · License 085.005564 (IL)
5355 DR MARTIN LUTHER KING JR ST N, St Petersburg, FL 33703
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tiffani Botts Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tiffani Botts's NPI number?

The NPI number for Tiffani Botts is 1316327877. It was assigned to this individual provider in the NPPES registry on May 31, 2015.

Where is Tiffani Botts located?

Tiffani Botts practices at 5355 Dr Martin Luther King Jr St N, St Petersburg, FL 33703. The listed phone number is (727) 344-9006.

What is Tiffani Botts's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Tiffani Botts enrolled in Medicare?

Yes. Tiffani Botts is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Tiffani Botts was last updated on September 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.