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

Jason Aaron Canterberry, PA-C

Individual provider Physician Assistant · NPI 1588086433

Jason Aaron Canterberry, PA-C is a Physician Assistant in Madisonville, Kentucky. Qualified in 2013, 13 years ago. Practices with Crittenden Community Hospital LLC, a 20-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
13
Licensed in
FL
In the registry since
2014
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

510 Ruby Dr
Madisonville, KY 42431-2168
Phone: (270) 399-7900
Fax: (270) 399-7910
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 9107697 (FL)

Record details

NPI number1588086433
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 13, 2014
Last updated in NPPESMay 13, 2022
Certification dateMay 13, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Crittenden Community Hospital Llc — 20 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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