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

Individual provider Physician Assistant · NPI 1942236104

Katrina Nicole Bacalis, PA is a Physician Assistant in Charlotte, North Carolina. Works from 3 locations. Licensed in North Carolina.

Licensed in
NC
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1001 Blythe Blvd Medical Center Plz Ste 200
Charlotte, NC 28203-5866
Phone: (704) 381-8840
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1000 Blythe Blvd, Charlotte, NC 28203-5812 — (704) 355-2171
  • 1350 S Kings Dr, Charlotte, NC 28207-2134 — (704) 446-1422

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 103129 (NC)

Record details

NPI number1942236104
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJune 22, 2006
Last updated in NPPESJuly 15, 2024

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