Active NPI
Jillian Layne Bott, PA-C
- Physician Assistant
- Winter Park, FL
National Provider Identifier
1225791486
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA9116706
- Practice address
- 1551 Clay St
Winter Park, FL 32789-5499 - Phone
- (407) 644-5371
- Fax
- (888) 720-2618
- NPI assigned
- Oct 14, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 10650 | FL | |
| Physician Assistant | 363A00000X | PA9116706 | FL | Primary |
Addresses
Primary practice location
1551 Clay St
Winter Park, FL 32789-5499
Mailing address
PO Box 748817
Atlanta, GA 30374-8817
Phone (813) 286-0033
Other names 1
- Jillian E Layne
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Nova Southeastern College of Osteo Medicine, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1551 Clay St
Winter Park, FL 32789-5499
Phone (407) 644-5371
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10650 | FL | MD | Registered Respiratory Therapist |
Interoperability endpoints
- jillian.layne@wcfnf.eclinicaldirectplus.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Obstetrics & Gynecology Physician
- Tampa, FL
- NPI 1013902923
-
- Obstetrics & Gynecology Physician
- Tampa, FL
- NPI 1205295599
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1634169600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755216000000",
"number": "1225791486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 748817",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303748817",
"telephone_number": "813-286-0033",
"fax_number": "813-282-1806"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1551 CLAY ST",
"city": "WINTER PARK",
"state": "FL",
"postal_code": "327895499",
"telephone_number": "407-644-5371",
"fax_number": "888-720-2618"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOTT",
"first_name": "JILLIAN",
"middle_name": "LAYNE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-10-14",
"last_updated": "2025-08-15",
"certification_date": "2025-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "10650",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9116706",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JILLIAN",
"last_name": "LAYNE",
"middle_name": "E",
"credential": "PA-C",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Winter Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.