Tabitha Jo Hall, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA2111 Issued in KY

Practice address

2211 Mayfair Dr Ste 305
Owensboro, KY 42301-4572

Phone

(270) 688-3700

NPI assigned

May 3, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Tabitha Jo Day Former name

Medicare fee-for-service enrollment

Enrolled in KY

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 1

Specialty

Physician Assistant

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Owensboro Health Medical Group IncGroup PAC ID 0648255034, 455 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Owensboro Health Regional Hospital Hospital, Owensboro, KY, CCN 180038

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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.

• Owensboro Health Medical Group Inc

  • Surgery Physician
  • Greenville, KY
  • NPI 1235518242
  Medicare reassignment Care Compare group
• Owensboro Health Medical Group Inc

  • Internal Medicine Physician
  • Owensboro, KY
  • NPI 1306700711
  NPD
• Owensboro Health Medical Group, Inc

  • Family Medicine Physician
  • Owensboro, KY
  • NPI 1558794537

  Physician Assistant

  NPD
• Owensboro Health Medical Group, Inc

  • Family Medicine Physician
  • Owensboro, KY
  • NPI 1376594242

  Physician Assistant

  NPD (past)

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

• Owensboro Health Inc

  • General Acute Care Hospital
  • Owensboro, KY
  • NPI 1285613612
  Care Compare affiliation

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

{
    "created_epoch": "1462233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687392000000",
    "number": "1205281722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23229",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423043229",
            "telephone_number": "270-688-1330",
            "fax_number": "270-688-1338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2211 MAYFAIR DR STE 305",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423014572",
            "telephone_number": "270-688-3700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2235 Mayfair Dr",
            "address_purpose": "LOCATION",
            "city": "Owensboro",
            "state": "KY",
            "postal_code": "423014519",
            "country_code": "US",
            "telephone_number": "270-688-1500",
            "fax_number": "270-688-1501",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2801 New Hartford Rd",
            "address_purpose": "LOCATION",
            "city": "Owensboro",
            "state": "KY",
            "postal_code": "423031320",
            "country_code": "US",
            "telephone_number": "270-683-3720",
            "fax_number": "270-686-7331",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1301 Pleasant Valley Rd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Owensboro",
            "state": "KY",
            "postal_code": "423039774",
            "country_code": "US",
            "telephone_number": "270-417-7510",
            "fax_number": "270-417-7529",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALL",
        "first_name": "TABITHA",
        "middle_name": "JO",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-03",
        "last_updated": "2023-06-22",
        "certification_date": "2023-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KY",
            "license": "PA2111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TABITHA",
            "last_name": "DAY",
            "middle_name": "JO",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• James Wayne Hall, PHARMACIST
• Jayne Hall
• Jordan Hall
• Patsy Lynn Hall, COTA/L
• Scott J Hall, RDN
• Chelsea Hamilton, PHARMD
• Emily Hamilton, MS, CCC-SLP
• Jennifer Alaine Hamilton, LCSW, CADC
• Rhonda A Hamilton, PHARMD
• Robert A. Hamilton, D.O.

• Physician Assistant in Owensboro, KY
• Providers in Owensboro, KY by specialty
• Physician Assistant in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2023; 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.