Individual provider Active NPI

Cameron M Shawver, D.O.

  • Family Medicine Physician
  • Johnson City, TN
National Provider Identifier
1881034346
Registry record updated Dec 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4285 Issued in TN
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

Updated by the provider on Dec 30, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210624003627 TN Practitioner - Pain Management 9335382688 Reassigns benefits to 3 organizations

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
Campbell Clinic, PCGroup PAC ID 9638082076, 229 clinicians
State of Franklin Healthcare Associates, PLLCGroup PAC ID 2466346291, 258 clinicians
Champion Physical Therapy LLC HallsGroup PAC ID 1355416306, shared by 4 NPIs, 277 clinicians

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 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
1232NEMDInterventional Pain Medicine Physician
4285TNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Specialists in Pain Management, PLLC Dba Spine & Pain Associates CurrentSince Jan 1, 2026 Accepting new patients
State of Franklin Healthcare Associates PLLC Family Medicine CurrentSince Jul 26, 2021 Accepting new patients
Specialists in Pain Management, PLLC Dba Spine & Pain Associates Interventional Pain Medicine CurrentSince Jan 1, 2026 Accepting new patients
State of Franklin Healthcare Associates PLLC CurrentSince Jun 27, 2021 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

  • Direct secure messaging: cameronshawver@sofha.allscriptsdirect.net
  • FHIR API: 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.

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

Verify at the official NPI Registry.