Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Jacob Penatzer, PA-C

Physician Assistant in Fort Stewart, GA · enumerated 2010 · practices at Troop Medical Clinic #4.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1699084590

Verified

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Registry record

Entity type Individual (Type 1)

Name Jacob Penatzer

Credential PA-C

Sex Male

Practice address 1061 Harmon Ave Ste 1d03, Fort Stewart, GA, 31314

Phone (912) 435-6633

Enumeration date Sep 27, 2010

Last updated in NPPES Jun 18, 2011

Taxonomy & licenses

363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License MA054484 (PA) Primary

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What specialty is Jacob Penatzer?

Jacob Penatzer is registered in NPPES with the primary taxonomy of Physician Assistant. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.

Is this the official NPI registry?

No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.

Other providers at this practice address

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Deborah Loughney Pharmacist · Fort Stewart, GA NPI 1750381570 Shirley Frasier Community Health Registered Nurse · Ft. Stewart, GA NPI 1417957861 Mark Thelen Orthopedic Physical Therapist · Fort Stewart, GA NPI 1164414058 Mary James Clinical Social Worker · Fort Stewart, GA NPI 1700874963 Troop Medical Clinic #4 Military/U.S. Coast Guard Outpatient Clinic/Center · Ft. Stewart, GA NPI 1588653158 Edgar Habeck Clinical Social Worker · Fort Stewart, GA NPI 1861481087 Keith Wheeler Clinical Social Worker · Fort Stewart, GA NPI 1063402915 Kimberly Livingston Pediatric Physical Therapist · Fort Stewart, GA NPI 1922098722

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2011-06-18.