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

Jacob Penatzer, PA-C

Individual provider Physician Assistant · NPI 1699084590

Jacob Penatzer, PA-C is a Physician Assistant in Fort Stewart, Georgia. Licensed in Pennsylvania. Registered with an NPI since 2010.

Licensed in
PA
In the registry since
2010
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

1061 Harmon Ave Ste 1D03
Fort Stewart, GA 31314-5641
Phone: (912) 435-6633
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence MA054484 (PA)

Record details

NPI number1699084590
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 27, 2010
Last updated in NPPESJune 18, 2011
Mailing address1061 Harmon Ave, Ste 1d03, Fort Stewart, GA 31314-5641

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