NPIMap

Individual provider Active NPI

Sheila May Agustin O'Callaghan, NP

  • Gerontology Nurse Practitioner
  • Fayetteville, NC
National Provider Identifier
1821492893
Registry record updated Aug 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
5007270 Issued in NC
Practice address
3308 Melrose Rd
Fayetteville, NC 28304
Phone
(910) 615-3200
NPI assigned
Oct 20, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 5007270 NC Primary
Adult Health Nurse Practitioner 363LA2200X 5007270 NC

Addresses

Primary practice location

3308 Melrose Rd
Fayetteville, NC 28304

Mailing address

3308 Melrose Rd
Fayetteville, NC 28304-1604
Phone (910) 615-3200

Other practice location 1

300 Medical Pavilion Dr
Raeford, NC 28376-0019
Phone (910) 904-8200

Other practice location 2

1565 Purdue Dr Ste 101A
Fayetteville, NC 28303-5537
Phone (910) 615-6949

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160121001242 NC Practitioner - Nurse Practitioner 9436452604 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cape Fear Valley Health Medical Group LLCGroup PAC ID 0648707109, 352 clinicians
Cumberland County Hospital System IncGroup PAC ID 1850204041, 581 clinicians

Practice addresses (Care Compare)

300 Medical Pavilion Dr
Suite 170
Raeford, NC 28376-0019
Phone (910) 904-8200

3308 Melrose Rd
Fayetteville, NC 28304-1604
Phone (910) 615-3200

Hospital & facility affiliations

  • Cape Fear Valley Medical Center Hospital, Fayetteville, NC, CCN 340028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
5007270NCMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cumberland County Hospital System Inc Current Accepting new patients
Cape Fear Valley Health Medical Group LLC CurrentSince Dec 1, 2024 Accepting new patients
Cape Fear Valley Health Medical Group LLC Current Accepting new patients
Cape Fear Valley Health Medical Group LLC CurrentSince Dec 1, 2024 Accepting new patients
Cumberland County Hospital System Inc CurrentSince May 3, 2018 Accepting new patients
Cumberland County Hospital System Inc CurrentSince May 3, 2018 Accepting new patients

Locations

4140 Ferncreek Dr
Ste 801
Fayetteville, NC 28314
Phone (910) 484-2171

1565 Purdue Dr
Ste 101A
Fayetteville, NC 28303
Phone (910) 484-8492

1638 Owen Dr
Fayetteville, NC 28304
Phone (910) 609-5610

3308 Melrose Rd
Fayetteville, NC 28304
Phone (910) 484-3114

300 Medical Pavilion Dr
Raeford, NC 28376
Phone (910) 266-9900

300 Medical Pavilion Dr
Ste 170
Raeford, NC 28376
Phone (910) 904-8200

Interoperability endpoints

  • Direct secure messaging: mocallaghan10378@capefearvalley.direct-ci.com

Organizations & group practices 6

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 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1413763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755475200000",
    "number": "1821492893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3308 MELROSE RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283041604",
            "telephone_number": "910-615-3200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3308 MELROSE RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "28304",
            "telephone_number": "910-615-3200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Medical Pavilion Dr",
            "address_purpose": "LOCATION",
            "city": "Raeford",
            "state": "NC",
            "postal_code": "283760019",
            "country_code": "US",
            "telephone_number": "910-904-8200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1565 Purdue Dr Ste 101A",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283035537",
            "country_code": "US",
            "telephone_number": "910-615-6949",
            "fax_number": "910-615-9761",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "O'CALLAGHAN",
        "first_name": "SHEILA MAY",
        "middle_name": "AGUSTIN",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-20",
        "last_updated": "2025-08-18",
        "certification_date": "2025-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NC",
            "license": "5007270",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NC",
            "license": "5007270",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

Verify at the official NPI Registry.