Active NPI
Avery Thomson, DPM
- Foot & Ankle Surgery Podiatrist
- Abingdon, VA
National Provider Identifier
1083296453
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 0103301461
- Practice address
- 16000 Johnston Memorial Dr Ste 100
Abingdon, VA 24211-7664 - Phone
- (276) 477-1443
- Fax
- (276) 477-1441
- NPI assigned
- Apr 26, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 0103301461 | VA | Primary |
Addresses
Primary practice location
16000 Johnston Memorial Dr Ste 100
Abingdon, VA 24211-7664
Mailing address
16000 Johnston Memorial Dr Ste 100
Abingdon, VA 24211-7664
Phone (276) 477-1443
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q106240 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250724003162 | VA | Practitioner - Podiatry | 0244747392 | Reassigns benefits to 1 organization |
| I20250814001699 | TN | Practitioner - Podiatry | 0244747392 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Temple University School of Medicine, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Medical Park Blvd
Suite 300E
Bristol, TN 37620-7497
Phone (423) 434-6300
16000 Johnston Memorial Dr
Suite 100
Abingdon, VA 24211-7664
Phone (423) 434-6300
Hospital & facility affiliations
- Johnston Memorial Hospital
- Wellmont Bristol Regional Medical Center
- Russell County Hospital
- Smyth County Community Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 28 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 25 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0103301461 | VA | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Campbell Clinic PC | Current | Accepting new patients | |
| Wellmont Health System | Current | Accepting new patients | |
| Campbell Clinic, PC | Current | Accepting new patients | |
| Campbell Clinic | Past | Accepting new patients |
Locations
1 Medical Park Blvd
Ste 300E
Bristol, TN 37620
Phone (423) 245-3161
3 Professional Park Dr
Ste 21
Johnson City, TN 37604
1400 S Germantown Rd
Memphis, TN 38138
Phone (901) 759-3111
16000 Johnston Memorial Dr
Ste 100
Abingdon, VA 24211
Phone (276) 258-1760
Interoperability endpoints
- avery.thomson.1@1366.direct.athenahealth.com
- athomson529786@balladhealth.medalliesdirect.net
- https://api.platform.athenahealth.com/1366/brand/1/csg/1/fhir/r4
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Durable Medical Equipment & Medical Supplies
- Carthage, TN
- NPI 1669366068
-
- General Acute Care Hospital
- Kingsport, TN
- NPI 1760405849
-
- Magnetic Resonance Imaging (MRI) Clinic/Center
- Germantown, TN
- NPI 1588619944
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Durable Medical Equipment & Medical Supplies
- Marion, VA
- NPI 1750433389
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1619395200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1767571200000",
"number": "1083296453",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16000 JOHNSTON MEMORIAL DR STE 100",
"city": "ABINGDON",
"state": "VA",
"postal_code": "242117664",
"telephone_number": "276-477-1443",
"fax_number": "276-477-1441"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16000 JOHNSTON MEMORIAL DR STE 100",
"city": "ABINGDON",
"state": "VA",
"postal_code": "242117664",
"telephone_number": "276-477-1443",
"fax_number": "276-477-1441"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMSON",
"first_name": "AVERY",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-04-26",
"last_updated": "2026-01-05",
"certification_date": "2026-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "VA",
"license": "0103301461",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Q106240",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Abingdon, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.