P Praxis·MD
● Active Type 1 · Individual

MRS. Kristal Lynne Jaster, PA-C

Physician Assistant·Port Wentworth, GA· NPI 1689768673 · Enumerated 2006 · 19 years on NPI
Jaster is 1 of 1 physician assistant providers in Port Wentworth and 1 of 4616 in Georgia.
NPI age
19 years
Enumerated 2006-10-03
Primary specialty
Physician Assistant
Plus 2 subspecialties
Licensed in
GA, NC
2 states
Status
Active
No deactivations on record
Last NPPES update
2018-03-17
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 4616 active physician assistant providers in Georgia.

NPI age
19 years
↑ 11 yr above median (8 yr)
State licenses
2 states
Top 90% — 9% of peers are multi-state
Subspecialties
1
In the 24% of peers with subspecialties

NPI lifetime · 2006 → 2026

2006-10Enumerated in NPPES
2006 2026

Where they practice

Practice location
7306 Ga Highway 21 Ste 105
Port Wentworth, GA 314079275
📞 9129662575fax 9129660906
Mailing address
Po Box 818
Springfield, GA 313290818
fax 9127542570

Additional practice locations

3 secondary locations on file with NPPES.

Location 2
7306 Ga Highway 21 Ste 105
Port Wentworth, GA 314079275
📞 9129662575fax 9129660906
Location 3
1128 E. Derenne Ave
Savannah, GA 314062514
📞 9105834744
Location 4
800 Towne Park Dr Ste 100
Rincon, GA 313265160
📞 9128260052fax 9128264726

Specialties

  • Physician Assistant Primary
    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...
    GA license #007452NC license #0010-04041 taxonomy 363A00000X
  • Dental Hygienist
    An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. ...
    NC license #6430 taxonomy 124Q00000X

Identifiers

TypeValueNotes
01 (GA) 007452 PHYSICIAN ASSISTANT LICENSE
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.

Practice context

Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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