Individual provider · Type 1 NPI

Jessica Lyster, PA-C

Physician Assistant · Athens, GA

NPI number 1912639436 Active

Practice location

1765 Old West Broad St
Athens, GA 30606-2853

Fax (706) 286-7426

Mailing address

1765 Old West Broad St Bldg 2-200
Athens, GA 30606-2887

Other practice locations

  • 3440 Highway 81, Loganville, GA 30052-9112 · (770) 554-5009

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X12669 (GA)

Physician Assistant: 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, orde…

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About NPI 1912639436

Jessica Lyster, PA-C's National Provider Identifier is 1912639436, issued on Jun 24, 2022. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Athens, GA. The record was last updated on Jan 22, 2026.