Tabitha Lynn Martin, PA-C
Physician Assistant, Surgical in Lexington, KY. Individual provider (NPI-1).
NPI number1366039232
StatusActive
Last updated in NPPESSep 23, 2025
Details
- NPI
- 1366039232
- Entity type
- Individual (NPI-1)
- Name
- Tabitha Lynn Martin
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Dec 28, 2020
- Certification date
- Sep 23, 2025
- Last updated
- Sep 23, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AS0400X | Physician Assistant, Surgical | PA2696 | KY | Yes |
Other names
- Tabitha Lynn Martin (Professional Name)
Practice location
1101 Veterans DrLexington, KY 40502-2235
Phone 859-233-4511
Mailing address
1101 Veterans DrLexington, KY 40502-2235
Phone 859-233-4511
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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