Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Jack Larsen

Individual provider Family Medicine Physician · NPI 1972063444

Jack Larsen is registered under Family Practice in Johnson City, Tennessee. Qualified in 2019, 7 years ago. Practices with Medical Education Assistance Corporation, a 176-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
7
Licensed in
TN
In the registry since
2019
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Practice location Address checks out

917 W Walnut St
Johnson City, TN 37604
Phone: (423) 439-6464
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Additional practice locations (3)

  • 100 Newell Drive, Gainesville, FL 32610-3814 — (352) 265-4357
  • 208 Medical Park Blvd, Bristol, TN 37620 — (423) 989-4050
  • 102 E Ravine Rd, Kingsport, TN 37660-3814 — (423) 245-9600

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 63135 (TN)

Record details

NPI number1972063444
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 21, 2019
Last updated in NPPESJanuary 18, 2024
Certification dateJanuary 18, 2024

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Medical Education Assistance Corporation — 176 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Payments from drug and device companies, 2025

Drug and device makers are required by federal law (the Physician Payments Sunshine Act) to report what they pay or give to clinicians, and CMS publishes the reports as Open Payments. This is the 2025 program year. A report is a record of a payment, not an allegation of anything, and many are small items such as meals. Only general payments are listed here; research payments and ownership or investment interests are reported separately by CMS and are not shown.

Food and Beverage $30 2 payments · a meal or drink at a meeting or visit, not a fee

Each amount is the sum of what companies reported for that kind of payment in 2025, rounded to the dollar. Not all of it is income to the clinician: a meal is not a fee, a charitable contribution goes to a charity, and a royalty or an acquisition payment is not a salary.

Check a report, or dispute one, at the source in CMS’s own tool, Open Payments. Corrections go through CMS’s dispute process. This site removes a home address on request and asks for no proof, because that is privacy; it will not remove an accurate payment report on request, because that is a statutory public disclosure.

Colleagues at Medical Education Assistance Corporation

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 176 clinicians in the practice; 12 are shown here.

Other providers in Johnson City