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

Mr. Collins Fokum Fomunung, FNP

Individual provider Family Nurse Practitioner · NPI 1124414750

Mr. Collins Fokum Fomunung, FNP is a Nurse Practitioner in Matthews, North Carolina. Graduated from University of North Carolina at Chapel Hill School of Medicine in 2014, 12 years ago. Practices with Eventus Wholehealth PLLC, a 299-clinician group. Licensed in North Carolina.

Years since qualifying
12
Trained at
University of North Carolina at Chapel Hill School of Medicine
Licensed in
NC
In the registry since
2015
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

1130 Sam Newell Rd
Matthews, NC 28105-5039
Phone: (704) 900-7761
Fax: (833) 948-3597
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 5007564 (NC)

Record details

NPI number1124414750
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP
Sole proprietorNo
NPI enumeratedApril 10, 2015
Last updated in NPPESMarch 5, 2026
Certification dateMarch 5, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolUNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL SCHOOL OF MEDICINE
Graduated 2014 (12 years in practice)
Group practice Eventus Wholehealth Pllc — 299 clinicians
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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