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

Dr. Matthew Shawn Thomas, DO

Individual provider Family Medicine Physician · NPI 1801862313

Dr. Matthew Shawn Thomas, DO is an Emergency Medicine in Johnson City, Tennessee. Qualified in 2005, 21 years ago. Practices with Revida Recovery Centers PC, a 29-clinician group. Licensed in Tennessee and Virginia.

Years since qualifying
21
Licensed in
TN, VA
In the registry since
2006
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

3114 Browns Mill Rd
Johnson City, TN 37604-1417
Phone: (423) 631-0432
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence 2329 (TN)
Family Medicine Physician Taxonomy 207Q00000X · Licence 0102201997 (VA)
Family Medicine Physician Taxonomy 207Q00000X · Licence DO0000002329 (TN)

Record details

NPI number1801862313
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedFebruary 24, 2006
Last updated in NPPESFebruary 25, 2026
Certification dateFebruary 25, 2026
Mailing address836 Lake Point Dr, Piney Flats, TN 37686-4524

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Revida Recovery Centers Pc — 29 clinicians
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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