Tabitha Sue Melvin, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

50001977 Issued in OH

Practice address

1005 E Temple St
Washington Court House, OH 43160-3600

Phone

(740) 208-2550

Fax

(740) 853-4229

NPI assigned

Jan 23, 2006

Last updated

Apr 29, 2024By the provider in NPPES

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 identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

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, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Adena Fayette Medical Center Hospital, Washington CH, OH, CCN 361331

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Skin Firm, LLC

  • Dermatology Physician
  • Washington Court House, OH
  • NPI 1285396978
  Medicare reassignment Authorized official
• Oakview Dermatology

  • Dermatology Physician
  • Athens, OH
  • NPI 1063671063
  Medicare reassignment
• Dermatology and Cosmetic Surgery of Dublin, Inc

  • Dermatology Physician
  • Dublin, OH
  • NPI 1366504656
  NPD (past)

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

• Adena Fayette Medical Center

  • Critical Access Hospital
  • Washington Court House, OH
  • NPI 1508978677
  Care Compare affiliation

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

{
    "created_epoch": "1137974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714348800000",
    "number": "1376513564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 E TEMPLE ST",
            "city": "WASHINGTON COURT HOUSE",
            "state": "OH",
            "postal_code": "431603600",
            "telephone_number": "740-208-2550",
            "fax_number": "740-853-4229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 E TEMPLE ST",
            "city": "WASHINGTON COURT HOUSE",
            "state": "OH",
            "postal_code": "431603600",
            "telephone_number": "740-208-2550",
            "fax_number": "740-853-4229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELVIN",
        "first_name": "TABITHA",
        "middle_name": "SUE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-23",
        "last_updated": "2024-04-29",
        "certification_date": "2024-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OH",
            "license": "50001977",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0068840",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marriah Brooke McGraw
• Debi McKinney
• Chereka Ann McNichols
• Medicine Shoppe (Lawrence J Lehman Medicine Shoppe)
• Sarah Meeker, CFY-SLP
• Dennis A Mesker, MD
• Miami Trace Local School District
• Tiffany Raye Mick
• Midwest Care Washington CH LLC
• Cheri Mikol, MSW, LSW, LICDC

• Medical Physician Assistant in Washington Court House, OH
• Providers in Washington Court House, OH by specialty
• Medical Physician Assistant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2024; 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.