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MARTHA SHUPING MD
NPI 1639554819
Clinic/Center - Adult Mental Health in Winston-salem, NC

Active since July 29, 2015
2839 MAPLEWOOD AVE, SUITE A, WINSTON-SALEM, NC 27103(336) 745-7344(336) 768-1857 Get Directions Write a Review

NPPES record last updated: July 29, 2015. Verified against the NPPES registry weekly; last sync: September 13, 2026.

About Martha Shuping Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARTHA SHUPING MD (NPI 1639554819) is a healthcare organization registered as an adult mental health in Winston-salem, North Carolina and active in the NPI registry since July 2015. The organization lists Paula Whitley, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1639554819
Entity TypeOrganization
Primary Taxonomy261QM0850X
Legal Business NameMARTHA SHUPING MD
Location Address2839 MAPLEWOOD AVE, SUITE AWinston-salem, NC 27103-4114
Mailing AddressPo Box 25062Winston Salem, NC 27114-5062 · (336) 745-7344 · Fax (336) 768-1857
Phone(336) 745-7344
Fax(336) 768-1857
Organization SubpartNo
Authorized OfficialPaula WhitleyCredentialing Manager · (704) 699-8042
Enumeration DateJuly 29, 2015
✔ NPI 1639554819 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Adult Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0850X
License✔ Licensed in NC · 32172
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
2839 MAPLEWOOD AVE, Winston-salem, NC 27103
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Other Identifiers 3

Medicaid5902384NC
Medicare UPINC86441NC
Medicare PIN2170301ANC

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Martha Shuping MD's NPI number?

The NPI number for Martha Shuping MD is 1639554819. It was assigned to this organization in the NPPES registry on July 29, 2015.

Where is Martha Shuping MD located?

Martha Shuping MD is located at 2839 Maplewood Ave Suite A, Winston-Salem, NC 27103. The listed phone number is (336) 745-7344.

What is Martha Shuping MD's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

When was this NPI record last updated?

The NPPES record for Martha Shuping MD was last updated on July 29, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.