Tabitha Kelly, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

C5-0012230 Issued in DE

Practice address

23900 Milton Ellendale Hwy
Milton, DE 19968-2714

Phone

(302) 684-5635

Fax

(866) 546-6159

NPI assigned

Oct 12, 2017

Last updated

Oct 16, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Tabitha Roach Former name

Medicare fee-for-service enrollment

Enrolled in TX, DE2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Physician Assistant

Education

University of Maryland School of Medicine, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Beebe Physician Network Inc.Group PAC ID 5496744864, 301 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Beebe Medical Center Hospital, Lewes, DE, CCN 080007

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/6835/brand/1/csg/1/fhir/r4
• Direct secure messaging: tabitharoach@agh.allscriptsdirect.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Beebe Physician Network Inc.

  dba Beebe Medical Group

  • Internal Medicine Physician
  • Lewes, DE
  • NPI 1730133992

  Gastroenterology

  Medicare reassignment Care Compare group NPD
• Kotel Atx PLLC

  dba Heading Health

  • Adult Mental Health Clinic/Center
  • Austin, TX
  • NPI 1568055192
  Medicare reassignment
• New Hope Behavioral Health LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Abilene, TX
  • NPI 1386165272
  Medicare reassignment
• Thriving Lane

  • Psychiatry Physician
  • Naples, FL
  • NPI 1376122515

  TX

  Medicare reassignment
• Beebe Physician Network, Inc.

  dba Beebe Sussex Tech Wellness Center

  • Student Health Clinic/Center
  • Georgetown, DE
  • NPI 1003694688
  NPD
• Beebe Medical Center, Inc.

  • General Acute Care Hospital
  • Lewes, DE
  • NPI 1821196486
  NPD (past)
• Jessco LLC

  • Ambulatory Surgical Clinic/Center
  • Berlin, MD
  • NPI 1033290499
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Beebe Medical Center, Inc.

  • General Acute Care Hospital
  • Lewes, DE
  • NPI 1821196486
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1507766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760572800000",
    "number": "1134630528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 SAVANNAH RD FL 2",
            "city": "LEWES",
            "state": "DE",
            "postal_code": "199581675",
            "telephone_number": "302-645-3499",
            "fax_number": "302-644-4830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23900 MILTON ELLENDALE HWY",
            "city": "MILTON",
            "state": "DE",
            "postal_code": "199682714",
            "telephone_number": "302-684-5635",
            "fax_number": "866-546-6159"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21635 Biden Ave",
            "address_purpose": "LOCATION",
            "city": "Georgetown",
            "state": "DE",
            "postal_code": "199474574",
            "country_code": "US",
            "telephone_number": "302-856-9729",
            "fax_number": "302-856-4261",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "32550 Docs Pl Unit 1",
            "address_purpose": "LOCATION",
            "city": "Millville",
            "state": "DE",
            "postal_code": "199676975",
            "country_code": "US",
            "telephone_number": "302-541-4175",
            "fax_number": "302-541-4217",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "19161 Healthy Way Unit 100",
            "address_purpose": "LOCATION",
            "city": "Rehoboth Beach",
            "state": "DE",
            "postal_code": "199714491",
            "country_code": "US",
            "telephone_number": "302-645-3010",
            "fax_number": "302-645-3814",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "28538 DuPont Blvd",
            "address_purpose": "LOCATION",
            "city": "Millsboro",
            "state": "DE",
            "postal_code": "199664791",
            "country_code": "US",
            "telephone_number": "302-934-5052",
            "fax_number": "302-933-0317",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "replacement_npi": "1134630528",
        "last_name": "KELLY",
        "first_name": "TABITHA",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-12",
        "last_updated": "2025-10-16",
        "certification_date": "2025-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "DE",
            "license": "C5-0012230",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TABITHA",
            "last_name": "ROACH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Uday Ashwin Jani, M.D.
• Edward S Jaoude, M.D.
• Carey Anna Karl, DPT
• Laura Anne Karlik, COTA/L
• Sabrina Kauffman
• Thomas Francis Kelly, M.D.
• Bailey Kemp
• Emma Gabrielle Klier, PA-C
• William Kobza
• Allison Jean Larusso, RN

• Physician Assistant in Milton, DE
• Providers in Milton, DE by specialty
• Physician Assistant in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 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.

Verify at the official NPI Registry.