Active NPI
Cameron M Shawver, D.O.
- Family Medicine Physician
- Johnson City, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 4285
- Practice address
- 316 Marketplace Blvd Ste 20
Johnson City, TN 37604-2596 - Phone
- (423) 794-5580
- Fax
- (423) 232-8561
- NPI assigned
- Jun 28, 2013
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 4285 | TN | Primary |
| Interventional Pain Medicine Physician | 208VP0014X | 1232 | NE | |
| Pain Medicine Physician | 208VP0000X | 4285 | TN |
Addresses
Primary practice location
316 Marketplace Blvd Ste 20
Johnson City, TN 37604-2596
Mailing address
101 Med Tech Pkwy Ste 200
Johnson City, TN 37604-4001
Phone (423) 232-6120
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pain Management
- Education
- Lincoln Mem Univ, Debusk Col of Osteopathic Med, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Champion Physical Therapy LLC Halls
Practice addresses (Care Compare)
3 Professional Park Dr
Suite 21
Johnson City, TN 37604-6529
Phone (423) 434-6300
316 Marketplace Blvd
Suite 20
Johnson City, TN 37604-2596
Phone 42323261201249
316 Marketplace Dr
Suite 20
Johnson City, TN 37604-2596
Phone (423) 794-5500
420 Railroad St
Elizabethton, TN 37643-2504
Phone (423) 297-1813
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1232 | NE | MD | Interventional Pain Medicine Physician |
| 4285 | TN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Specialists in Pain Management, PLLC Dba Spine & Pain Associates | Current | Accepting new patients | |
| State of Franklin Healthcare Associates PLLC | Family Medicine | Current | Accepting new patients |
| Specialists in Pain Management, PLLC Dba Spine & Pain Associates | Interventional Pain Medicine | Current | Accepting new patients |
| State of Franklin Healthcare Associates PLLC | Current | Accepting new patients |
Locations
281 N Lyerly St
Ste 200
Chattanooga, TN 37404
Phone (423) 698-0850
313 Princeton Rd
Ste 3
Johnson City, TN 37601
Phone (423) 282-4819
101 Med Tech Pkwy
Ste 200
Johnson City, TN 37604
Phone (423) 232-6120
316 Marketplace Blvd
Ste 20
Johnson City, TN 37604
Phone (423) 794-5500
Interoperability endpoints
- cameronshawver@sofha.allscriptsdirect.net
- https://api.platform.athenahealth.com/24871/brand/1/csg/1/fhir/r4
Organizations & group practices 5
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.
-
- Interventional Pain Medicine Physician
- Chattanooga, TN
- NPI 1447203922
-
- Internal Medicine Physician
- Johnson City, TN
- NPI 1063459410
Family Medicine
-
- Orthopaedic Surgery Physician
- Germantown, TN
- NPI 1003835141
-
- Prosthetic/Orthotic Supplier
- Cleveland, TN
- NPI 1134872922
-
- Clinical Medical Laboratory
- Johnson City, TN
- NPI 1841846136
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1767052800000",
"number": "1881034346",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 MED TECH PKWY STE 200",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376044001",
"telephone_number": "423-232-6120",
"fax_number": "833-450-6025"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "316 MARKETPLACE BLVD STE 20",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376042596",
"telephone_number": "423-794-5580",
"fax_number": "423-232-8561"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAWVER",
"first_name": "CAMERON",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-06-28",
"last_updated": "2025-12-30",
"certification_date": "2025-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TN",
"license": "4285",
"primary": true
},
{
"code": "208VP0014X",
"taxonomy_group": "",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "NE",
"license": "1232",
"primary": false
},
{
"code": "208VP0000X",
"taxonomy_group": "",
"desc": "Pain Medicine, Pain Medicine",
"state": "TN",
"license": "4285",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Johnson City, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2025; 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.