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

Individual provider Physician Assistant · NPI 1619754512

Kirstin Shaffer, PA is a Physician Assistant in Evans, Georgia. Qualified in 2023, 3 years ago. Practices with Evans Dermatology, LLC, a 4-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
3
Licensed in
GA
In the registry since
2023
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

1002 Williamsburg Way
Evans, GA 30809-7615
Phone: (706) 922-3376
Fax: (706) 922-5643
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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 12010 (GA)

Record details

NPI number1619754512
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedSeptember 13, 2023
Last updated in NPPESSeptember 23, 2025
Certification dateSeptember 23, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Evans Dermatology, Llc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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