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

Dr. Shannon E Fulp, MD

Individual provider Otolaryngology Physician · NPI 1487649414

Dr. Shannon E Fulp, MD is an Otolaryngology in Roanoke, Virginia. Graduated from University of North Carolina at Chapel Hill School of Medicine in 1998, 28 years ago. Practices with Carilion Medical Center, a 951-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
28
Trained at
University of North Carolina at Chapel Hill School of Medicine
Licensed in
VA
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4348 Electric Rd
Roanoke, VA 24018-0720
Phone: (540) 769-0700
Fax: (540) 772-8159
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Otolaryngology Physician (primary) Taxonomy 207Y00000X · Licence 0101279712 (VA)

Record details

NPI number1487649414
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 15, 2005
Last updated in NPPESMay 21, 2026
Certification dateMay 21, 2026
Mailing address213 S Jefferson St Ste 1006, Ste 1006, Roanoke, VA 24011-1713

Medicare enrollment

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

Medicare specialtyOTOLARYNGOLOGY
Medical schoolUNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL SCHOOL OF MEDICINE
Graduated 1998 (28 years in practice)
Group practice Carilion Medical Center — 951 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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