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

Jason Soong

Individual provider Family Medicine Physician · NPI 1366192338

Jason Soong is a Family Practice in Johnson City, Tennessee. Qualified in 2022, 4 years ago. Practices with Medical Education Assistance Corporation, a 176-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
4
Licensed in
TN
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

917 W Walnut St
Johnson City, TN 37604-6527
Phone: (423) 439-6464
Fax: (423) 439-7118
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 74852 (TN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1366192338
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 24, 2022
Last updated in NPPESAugust 8, 2025
Certification dateAugust 8, 2025
Mailing address917 W Walnut St, Johnson City, TN 37604-6527

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Medical Education Assistance Corporation — 176 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Johnson City