Individual provider Active NPI

Shirley D Ocloo, M.D.

  • Family Medicine Physician
  • Gastonia, NC
National Provider Identifier
1366448342
Registry record updated Jul 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
95-00168 Issued in NC
Practice address
2721 X Ray Dr
Gastonia, NC 28054-7491
Phone
(704) 874-2255
Fax
(704) 810-7417
NPI assigned
Jun 23, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 95-00168 NC Primary

Addresses

Primary practice location

2721 X Ray Dr
Gastonia, NC 28054-7491

Mailing address

200 E 2ND Ave
Gastonia, NC 28052-4358
Phone (704) 874-1900

Other identifiers 1

IdentifierTypeStateIssuer
8963720MedicaidNC

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
I20100909000873 NC Practitioner - Family Practice 7911022207 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Louisiana State University School of Medicine in Shreveport, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gaston Family Health Services Inc 98 clinicians

Practice addresses (Care Compare)

991 W Hudson Blvd
Gastonia, NC 28052-6430
Phone (704) 853-5079

Hospital & facility affiliations

  • Caromont Regional Medical Center Hospital, Gastonia, NC, CCN 340032

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
95-00168NCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gaston Family Health Services, Inc CurrentSince Sep 3, 1996 Accepting new patients
Gaston Family Health Services, Inc. CurrentSince Sep 3, 1996 Accepting new patients
Gaston Family Health Services, Inc. Current Accepting new patients

Locations (25 of 30)

119 W Pennsylvania Ave
Bessemer City, NC 28016
Phone (704) 629-3465

3114 W Main St
Claremont, NC 28610
Phone (828) 459-7324

1225 E Garrison Blvd
Gastonia, NC 28054
Phone (704) 865-7416

620 Summit Crossing Pl
Gastonia, NC 28054
Phone (704) 285-0241

111 E 3rd Ave
Gastonia, NC 28052
Phone (704) 853-5079

890 Summit Crossing Pl
Gastonia, NC 28054
Phone (704) 853-5000

200 E 2nd Ave
Gastonia, NC 28052
Phone (704) 874-1904

991 W Hudson Blvd
Gastonia, NC 28052
Phone (704) 853-5000

2721 X Ray Dr
Gastonia, NC 28054
Phone (704) 853-5079

409 S Oakland St
Gastonia, NC 28052

609 N Highland St
Gastonia, NC 28052
Phone (704) 772-4700

3070 11th Avenue Dr SE
Hickory, NC 28602
Phone (828) 466-7196

133 1st Ave SE
Hickory, NC 28602
Phone (828) 944-4544

915 Tate Blvd SE
Hickory, NC 28602
Phone (828) 345-0800

2365 Springs Rd NE
Hickory, NC 28601
Phone (828) 256-2112

1501 Tate Blvd SE
Hickory, NC 28602
Phone (828) 322-4140

502 W King St
Kings Mtn, NC 28086
Phone (704) 730-8461

420 N Salisbury St
Lexington, NC 27292
Phone (336) 243-7475

212 Gamble Dr
Lincolnton, NC 28092
Phone (704) 735-7145

137 Island Ford Rd
Maiden, NC 28650
Phone (828) 428-2446

172 S Clement St
Mocksville, NC 27028
Phone (336) 477-2251

1019 N Lafayette St
Shelby, NC 28150
Phone (704) 482-8282

305 W College Ave
Shelby, NC 28152
Phone (704) 434-2598

318 Turnersburg Hwy
Statesville, NC 28625
Phone (704) 872-8916

1703 Davie Ave
Statesville, NC 28677
Phone (704) 818-9191

Interoperability endpoints

  • Direct secure messaging: socloo249217@direct.ochin.org

Organizations & group practices 3

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1119484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720656000000",
    "number": "1366448342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E 2ND AVE",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280524358",
            "telephone_number": "704-874-1900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2721 X RAY DR",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280547491",
            "telephone_number": "704-874-2255",
            "fax_number": "704-810-7417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OCLOO",
        "first_name": "SHIRLEY",
        "middle_name": "D",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-23",
        "last_updated": "2024-07-11",
        "certification_date": "2024-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "95-00168",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8963720",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gastonia, NC

Sources for this page

Verify at the official NPI Registry.