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

Matthew Shannon Johnson, DO

Individual provider Emergency Medicine Physician · NPI 1659711455

Matthew Shannon Johnson, DO is a Family Practice in Port Charlotte, Florida. Graduated from Lincoln Memorial University Medical Department in 2013, 13 years ago. Practices with Alabama Physicians Group LLC, a 16-clinician group and accepts Medicare assignment. Licensed in Florida, Virginia and West Virginia.

Years since qualifying
13
Trained at
Lincoln Memorial University Medical Department
Licensed in
FL, VA, WV
In the registry since
2013
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

2450 Tamiami Trl Ste A
Port Charlotte, FL 33952-3922
Phone: (941) 624-2704
Fax: (941) 627-6066
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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 OS15650 (FL)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 3011 (WV)
Family Medicine Physician Taxonomy 207Q00000X · Licence 0116026356 (VA)

Record details

NPI number1659711455
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 26, 2013
Last updated in NPPESDecember 28, 2023
Certification dateDecember 28, 2023
Mailing address2675 Winkler Ave Fl 2, Fort Myers, FL 33901-9342

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolLINCOLN MEMORIAL UNIVERSITY MEDICAL DEPARTMENT
Graduated 2013 (13 years in practice)
Group practice Alabama Physicians Group Llc — 16 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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