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

Jared W Pack, DO

Individual provider Internal Medicine Physician · NPI 1396163101

Jared W Pack, DO practises Internal Medicine in Johnson City, Tennessee. Graduated from Lincoln Memorial University Medical Department in 2014, 12 years ago. Practices with East Tennessee Recovery PLLC, a 19-clinician group. Licensed in Tennessee.

Years since qualifying
12
Trained at
Lincoln Memorial University Medical Department
Licensed in
TN
In the registry since
2014
Specialties on file
3
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

2408 Susannah St Ste 1
Johnson City, TN 37601-1765
Phone: (423) 434-6677
Fax: (423) 461-0000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 2980 (TN)
Hospitalist Physician Taxonomy 208M00000X · Licence 2980 (TN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1396163101
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMarch 31, 2014
Last updated in NPPESDecember 30, 2025
Certification dateDecember 30, 2025

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolLINCOLN MEMORIAL UNIVERSITY MEDICAL DEPARTMENT
Graduated 2014 (12 years in practice)
Group practice East Tennessee Recovery Pllc — 19 clinicians
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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 $291 13 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.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

  • Wellmont Bristol Regional Medical Center Hospital · Bristol, TN
  • Wellmont Holston Valley Medical Center Hospital · Kingsport, TN

Colleagues at East Tennessee Recovery PLLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 19 clinicians in the practice; 12 are shown here.

Other providers in Johnson City