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

Mr. Jerry Wayne Iery, PA

Individual provider Physician Assistant · NPI 1255416384

Mr. Jerry Wayne Iery, PA is a Physician Assistant in South Shore, Kentucky. Qualified in 2006, 20 years ago. Practices with Lewis County Primary Care Center, Inc, a 88-clinician group and accepts Medicare assignment. Licensed in Kentucky and Ohio.

Years since qualifying
20
Licensed in
KY, OH
In the registry since
2006
Specialties on file
3
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

142 Depot Dr
South Shore, KY 41175
Phone: (606) 932-2271
Fax: (606) 932-2273
Show map & directions

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

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA983 (KY)
Physician Assistant Taxonomy 363A00000X · Licence PA983 (KY)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 1074488 (OH)

Record details

NPI number1255416384
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedOctober 26, 2006
Last updated in NPPESApril 18, 2017
Mailing addressPo Box 550, Vanceburg, KY 41179

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Lewis County Primary Care Center, Inc — 88 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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