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NITIN BAWA, PA
NPI 1588846257
Internal Medicine in Destin, FL

Active since December 04, 2007CLIA 10D2076683 · Waiver
4476 LEGENDARY DR STE 100, DESTIN, FL 32541(850) 424-7320(850) 424-7322 Get Directions Write a Review

NPPES record last updated: June 2, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Nitin Bawa, Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NITIN BAWA, PA (NPI 1588846257) is a healthcare organization registered as an internal medicine in Destin, Florida and active in the NPI registry since December 2007. The organization holds a CLIA Waiver certificate valid through May 2, 2027 and lists Nitin Bawa, Physician, as its authorized official.

NPPES Registry Identity

NPI1588846257
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameNITIN BAWA, PA
Location Address4476 LEGENDARY DR STE 100Destin, FL 32541-5347
Mailing Address4476 Legendary Dr Ste 100Destin, FL 32541-5347 · (850) 424-7320 · Fax (850) 424-7322
Phone(850) 424-7320
Fax(850) 424-7322
Organization SubpartNo
Authorized OfficialNitin BawaPhysician · (850) 534-4170
Enumeration DateDecember 4, 2007
Last NPPES UpdateJune 2, 2026
NPPES CertifiedJune 2, 2026
✔ NPI 1588846257 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in FL · ME91017
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
4476 LEGENDARY DR STE 100, Destin, FL 32541
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Other Identifiers 1

Medicaid270726800FL

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2076683

Nitin Bawa Professional Associates · Destin, FL
Active · expires May 2, 2027
CLIA Number10D2076683
Laboratory TypePhysician Office
Certificate Effective DateMay 3, 2025
Certificate Expiration DateMay 2, 2027
Laboratory DirectorNitin Bawa
Laboratory Phone(850) 424-7320
Laboratory LocationNitin Bawa Professional Associates4476 Legendary Drive #100, Destin, FL 32541
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KARA MADONNA HYMAN APRN
Nurse Practitioner (Family)
4476 LEGENDARY DR STE 100
DESTIN, FL 32541
Okaloosa County (850) 424-7320
MRS. LISA S MOORE ARNP, DNP
Nurse Practitioner (Family)
4476 LEGENDARY DR STE 100
DESTIN, FL 32541
Okaloosa County (850) 424-7320
DR. NITIN BAWA M.D.
Internal Medicine
4476 LEGENDARY DR STE 100
DESTIN, FL 32541
Okaloosa County (850) 424-7320

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nitin Bawa, PA's NPI number?

The NPI number for Nitin Bawa, PA is 1588846257. It was assigned to this organization in the NPPES registry on December 4, 2007.

Where is Nitin Bawa, PA located?

Nitin Bawa, PA is located at 4476 Legendary Dr Ste 100, Destin, FL 32541. The listed phone number is (850) 424-7320.

What is Nitin Bawa, PA's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Nitin Bawa, PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2076683) is associated with this NPI, valid through May 2, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Nitin Bawa, PA was last updated on June 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.