Individual provider Active NPI

Shelley A McClure, M.D.

  • Obstetrics & Gynecology Physician
  • Connelly Springs, NC
National Provider Identifier
1316995459
Registry record updated Jun 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
9900602 Issued in NC
Practice address
110 Hilltop St
Connelly Springs, NC 28612
Phone
(828) 580-7432
Fax
(620) 402-5044
NPI assigned
May 4, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X 9900602 NC Primary

Addresses

Primary practice location

110 Hilltop St
Connelly Springs, NC 28612

Mailing address

307 Walton Rd
Morganton, NC 28655-4215
Phone (620) 218-1622

Other practice location 1

110 Professional Park
Oxford, NC 27565-2576
Phone (919) 693-6541

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171004000283 NC Practitioner - Obstetrics/Gynecology 8426099615 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
9900602NCMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
DLP Central Carolina Medical Group, LLC CurrentSince Sep 22, 2021 Accepting new patients
DLP Central Carolina Medical Group LLC CurrentSince Sep 22, 2021 Accepting new patients
DLP Central Carolina Medical Group LLC Single Specialty Current Accepting new patients
Granville Health System Single Specialty CurrentSince May 8, 2023 Accepting new patients
Blue Ridge Healthcare Medical Group, Inc. Single Specialty CurrentSince Jun 5, 2023 Accepting new patients
Obhg North Carolina, P.C. Single Specialty CurrentSince Aug 6, 2021 Accepting new patients
Granville Health System Single Specialty CurrentSince May 8, 2023 Accepting new patients
Granville Health System Single Specialty Current Accepting new patients
Premier Phlebology, LLC Single Specialty Past Accepting new patients

Locations

1900 Kildaire Farm Rd
Cary, NC 27518
Phone (919) 350-2300

110 Professional Park
Oxford, NC 27565
Phone (919) 693-6541

1010 College St
Oxford, NC 27565
Phone (919) 623-5115

75 Old Graham Rd
Pittsboro, NC 27312
Phone (919) 542-2731

4420 Lake Boone Trl
Raleigh, NC 27607
Phone (919) 784-3034

1140 Carthage St
Sanford, NC 27330
Phone (919) 775-2304

Interoperability endpoints

  • Direct secure messaging: smcclure587617@direct.unc.nchie.net

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686528000000",
    "number": "1316995459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 WALTON RD",
            "city": "MORGANTON",
            "state": "NC",
            "postal_code": "286554215",
            "telephone_number": "620-218-1622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 HILLTOP ST",
            "city": "CONNELLY SPRINGS",
            "state": "NC",
            "postal_code": "28612",
            "telephone_number": "828-580-7432",
            "fax_number": "620-402-5044"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "110 Professional Park",
            "address_purpose": "LOCATION",
            "city": "Oxford",
            "state": "NC",
            "postal_code": "275652576",
            "country_code": "US",
            "telephone_number": "919-693-6541",
            "fax_number": "919-693-7396",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCLURE",
        "first_name": "SHELLEY",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-04",
        "last_updated": "2023-06-12",
        "certification_date": "2023-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "NC",
            "license": "9900602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Connelly Springs, NC

Sources for this page

Verify at the official NPI Registry.