JACOB PENATZER PA-C
NPI 1699084590
Physician Assistant in Fort Stewart, GA

Active since September 27, 2010
1061 HARMON AVE STE 1D03, FORT STEWART, GA 31314(912) 435-6633 Get Directions Write a Review

NPPES record last updated: June 18, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jacob Penatzer Pa-c NPPES

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

JACOB PENATZER PA-C (NPI 1699084590) is an individual physician assistant in Fort Stewart, Georgia, licensed in Pennsylvania (MA054484) and active in the NPI registry since September 2010.

NPPES Registry Identity

NPI1699084590
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameJACOB PENATZERCredential: PA-C
Location Address1061 HARMON AVE STE 1D03Fort Stewart, GA 31314-5641
Mailing Address1061 Harmon Ave, Ste 1d03Fort Stewart, GA 31314-5641 · (912) 435-6633
Sole ProprietorNo
Enumeration DateSeptember 27, 2010
Last NPPES UpdateJune 18, 2011
NPI 1699084590 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in PA · MA054484
Definition
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.
1061 HARMON AVE STE 1D03, Fort Stewart, GA 31314

Other Providers at the Same Location NPPES 20

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

Physician Assistant
1061 HARMON AVE STE 1D03
FORT STEWART, GA 31314
General Practice
1061 HARMON AVE STE 1D03, WINN ARMY COMMUNITY HOSPITAL
FORT STEWART, GA 31314
Pathology (Anatomic Pathology & Clinical Pathology)
1061 HARMON AVE STE 1D03
FORT STEWART, GA 31314
Social Worker (Clinical)
1061 HARMON AVE STE 1D03, WINN ARMY COMMUNITY HOSPITAL
FORT STEWART, GA 31314
Registered Nurse (Emergency)
1061 HARMON AVE STE 1D03
FORT STEWART, GA 31314
Physician Assistant
1061 HARMON AVE STE 1D03
FORT STEWART, GA 31314
Social Worker (Clinical)
1061 HARMON AVE STE 1D03, MARTIN ARMY COMMUNITY HOSPITAL
FORT STEWART, GA 31314
Pathology (Anatomic Pathology & Clinical Pathology)
1061 HARMON AVE STE 1D03
FORT STEWART, GA 31314

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 Jacob Penatzer's NPI number?

The NPI number for Jacob Penatzer is 1699084590. It was assigned to this individual provider in the NPPES registry on September 27, 2010.

Where is Jacob Penatzer located?

Jacob Penatzer practices at 1061 Harmon Ave Ste 1d03, Fort Stewart, GA 31314. The listed phone number is (912) 435-6633.

What is Jacob Penatzer's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Jacob Penatzer was last updated on June 18, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years 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.