Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Katie Nicole Bava

Individual provider Medical Physician Assistant · NPI 1922755123

Katie Nicole Bava is a Physician Assistant in Roswell, Georgia. Qualified in 2021, 5 years ago. Practices with Jupiter Medical Center Physicians Group Inc, a 147-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
5
Licensed in
FL
In the registry since
2022

Practice location Address checks out

3000 Hospital Blvd
Roswell, GA 30076-4915
Phone: (770) 751-2505
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA9115736 (FL)

Record details

NPI number1922755123
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 7, 2022
Last updated in NPPESJanuary 16, 2026
Certification dateJanuary 16, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Jupiter Medical Center Physicians Group Inc — 147 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Roswell