# MR. JASON ANDREW PEERY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1023209368
- **Gender:** Man
- **Credential:** PA-C

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | 0110002547 | VA | — |
| 363AS0400X | Surgical Physician Assistant | 0110002547 | VA | Yes |

## Other

- **Enumeration date:** 08/01/2007
- **Last updated:** 05/21/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0123209368 | MEDICAID QMB | VA |
| 01 | — | 1023209368 | INTOTAL | VA |
| 01 | — | 540506332108 | TRICARE/CHAMPUS | VA |
| 01 | — | P00831116 | RAILROAD MEDICARE | VA |