MARTHA SHUPING MD NPI 1639554819

NPI Information

  • NPI: 1639554819
  • Provider Name: MARTHA SHUPING MD
  • Classification: Clinic/Center - 261QM0850X
  • Specialization: Adult Mental Health
  • Entity Type: Organization
  • Address: 2839 MAPLEWOOD AVE
    SUITE A
    WINSTON-SALEM, NC
    ZIP 27103
  • Phone: (336) 745-7344

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NPI Details

MARTHA SHUPING MD is an adult mental health clinic center in Winston-salem, NC. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. MARTHA SHUPING MD NPI is 1639554819. The provider is registered as an organization entity type.

The provider's business location address is:

2839 MAPLEWOOD AVE
SUITE A
WINSTON-SALEM, NC
ZIP 27103-114
Phone: (336) 745-7344
Fax: (336) 768-1857

The provider's authorized official is Paula Whitley .
The authorized official title is Credentialing Manager and has the following contact phone number (704) 699-8042.

The enumeration date for this NPI number is 7/29/2015 and was last updated on 7/29/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM0850XClinic/CenterAdult Mental Health32172NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
15902384MEDICAIDNORTH CAROLINA
2C86441MEDICARE UPINNORTH CAROLINA
32170301AMEDICARE PINNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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