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

Dr. Shannon Nicole Mumma, MD

Individual provider Emergency Medicine Physician · NPI 1063891166

Dr. Shannon Nicole Mumma, MD is an Emergency Medicine in Winston Salem, North Carolina. Graduated from University of Oklahoma College of Medicine in 2015, 11 years ago. Practices with Wake Forest University Health Sciences, a 2,621-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
11
Trained at
University of Oklahoma College of Medicine
Licensed in
NC
In the registry since
2015
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Partly verified

Some contact details are missing from the federal record.

Department Of Emergency Medicine Medical Center Blvd
Winston Salem, NC 27157-1089
Phone: (336) 716-4625
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 2018-00358 (NC)

Record details

NPI number1063891166
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 21, 2015
Last updated in NPPESAugust 8, 2019

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolUNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
Graduated 2015 (11 years in practice)
Group practice Wake Forest University Health Sciences — 2621 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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