Individual Healthcare Provider
Tabitha Kelly, PA
Provider's NPPES record last updated: October 16, 2025
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1134630528
- Primary Specialty
- Physician Assistant
- Practice Location
- Milton, Delaware
- Sole Proprietor
- Yes
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 17, 2026, 10:52 PM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Physician Assistant
Physician Assistants & Advanced Practice Nursing Providers
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Taxonomy code 363A00000X Physician Assistant
Medical
Physician Assistants & Advanced Practice Nursing Providers
Definition to come...
Taxonomy code 363AM0700X
Provider-Reported License Information
- Physician Assistant (Delaware)
- C5-0012230
Practice Locations
Practice Location
23900 Milton Ellendale Hwy
Milton, Delaware 19968-2714
Phone: (302) 684-5635
Additional Practice Location
21635 Biden Ave
Georgetown, Delaware 19947-4574
Phone: (302) 856-9729
Fax: (302) 856-4261
Additional Practice Location
28538 Dupont Blvd
Millsboro, Delaware 19966-4791
Phone: (302) 934-5052
Fax: (302) 933-0317
Additional Practice Location
19161 Healthy Way Unit 100
Rehoboth Beach, Delaware 19971-4491
Phone: (302) 645-3010
Fax: (302) 645-3814
Additional Practice Location
32550 Docs Pl Unit 1
Millville, Delaware 19967-6975
Phone: (302) 541-4175
Fax: (302) 541-4217
Record Information
- Enumeration Date
- October 12, 2017
- Provider's NPPES Record Last Updated
- October 16, 2025
- Certification Date
- October 16, 2025
- Replacement NPI
- 1134630528
- NPISignal NPPES Dataset
- August 2026
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