Collins Fokum Fomunung, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

5007564 Issued in NC

Practice address

1130 Sam Newell Rd
Matthews, NC 28105-5039

Phone

(704) 900-7761

Fax

(833) 948-3597

NPI assigned

Apr 10, 2015

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

University of North Carolina at Chapel Hill School of Medicine, 2014

Medicare assignment

May accept Medicare assignment

Group practices

Eventus Wholehealth PLLCGroup PAC ID 6002169539, 301 clinicians

Mt Zion Medical and Nursing Services PAGroup PAC ID 1254426778, 4 clinicians

Eventus WH Southeast, LLCGroup PAC ID 5496294456, 241 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Centerwell Home Health Home health agency, Charlotte, NC, CCN 347177
• Bayada Home Health Care, Inc Home health agency, Charlotte, NC, CCN 347087
• Centerwell Home Health Home health agency, Charlotte, NC, CCN 347091
• Centerwell Home Health Home health agency, Shelby, NC, CCN 347317
• Gentiva Health Services Home health agency, Hickory, NC, CCN 347300

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: collins.fomunung.1@25903.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mt Zion Medical and Nursing Services, PA

  • Family Nurse Practitioner
  • Matthews, NC
  • NPI 1316160641
  Medicare reassignment Care Compare group NPD Authorized official
• Eventus WH Southeast, LLC

  • Geriatric Medicine (Family Medicine) Physician
  • Charlotte, NC
  • NPI 1487494811
  Medicare reassignment Care Compare group
• Eventus Wholehealth, PLLC

  • Family Medicine Physician
  • Concord, NC
  • NPI 1548759392
  Medicare reassignment Care Compare group

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Bayada Home Health Care, Inc.

  • Home Health Agency
  • Charlotte, NC
  • NPI 1023377439
  Care Compare affiliation
• Centerwell Certified Healthcare Corp.

  • Home Health Agency
  • Hickory, NC
  • NPI 1316974272
  Care Compare affiliation
• Centerwell Certified Healthcare Corp.

  • Home Health Agency
  • Charlotte, NC
  • NPI 1437175338
  Care Compare affiliation
• Total Care Home Health of North Carolina, LLC

  • Home Health Agency
  • Charlotte, NC
  • NPI 1497782924
  Care Compare affiliation
• Total Care Home Health of North Carolina, LLC

  • Home Health Agency
  • Shelby, NC
  • NPI 1649203431
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1428624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772668800000",
    "number": "1124414750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 SAM NEWELL RD",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281055039",
            "telephone_number": "704-900-7761",
            "fax_number": "833-948-3597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 SAM NEWELL RD",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281055039",
            "telephone_number": "704-900-7761",
            "fax_number": "833-948-3597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOMUNUNG",
        "first_name": "COLLINS",
        "middle_name": "FOKUM",
        "name_prefix": "Mr.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-10",
        "last_updated": "2026-03-05",
        "certification_date": "2026-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5007564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Judy Ellen Fischer, RD, LDN, CDE
• Katherine Fletcher, LAT, ATC
• Hannah Rae Fligel, M.ED.
• Pascual Flores
• Florida Autism Center
• Craig Robert Foosaner, CRNA
• Foot and Ankle of the Carolinas PLLC
• Foot and Ankle Specialists of the Mid-Atlantic LLC
• Foot and Ankle Specialists of the Mid-Atlantic LLC
• Foot and Ankle Specialists of the Mid-Atlantic LLC

• Family Nurse Practitioner in Matthews, NC
• Providers in Matthews, NC by specialty
• Family Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.