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FULL LIFE PRIMARY CARE
NPI 1427775451
Family Medicine - Adult Medicine in Sherman, TX

Active since October 20, 2022CLIA 45D2277489 · Waiver
600 E TAYLOR ST STE 201, SHERMAN, TX 75090(903) 257-3929(903) 827-4015 Get Directions Write a Review

NPPES record last updated: December 6, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 6, 2022, Oct 20, 2022 (2 updates tracked since 2022).

About Full Life Primary Care NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FULL LIFE PRIMARY CARE (NPI 1427775451) is a healthcare organization registered as an adult medicine in Sherman, Texas and active in the NPI registry since October 2022. The organization holds a CLIA Waiver certificate valid through February 27, 2027 and lists Sheelu Mathews, Manager, as its authorized official.

NPPES Registry Identity

NPI1427775451
Entity TypeOrganization
Primary Taxonomy207QA0505X
Legal Business NameFULL LIFE PRIMARY CARE PLLC
Location Address600 E TAYLOR ST STE 201Sherman, TX 75090-2832
Mailing Address600 E Taylor St Ste 201Sherman, TX 75090-2832 · (903) 257-3929 · Fax (903) 827-4015
Phone(903) 257-3929
Fax(903) 827-4015
Organization SubpartNo
Authorized OfficialSheelu MathewsManager · (973) 207-4589
Enumeration DateOctober 20, 2022
Last NPPES UpdateDecember 6, 20222 updates tracked since enumeration
NPPES CertifiedDecember 6, 2022
✔ NPI 1427775451 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0505X
Definition
The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.
Also ListedInternal MedicineTaxonomy 207R00000X
600 E TAYLOR ST STE 201, Sherman, TX 75090
Open in Google Maps ↗

Other Names 1

Doing Business AsFull Life Primary Care

Group Practice 2

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP
Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2277489

Full Life Primary Care · Sherman, TX
Active · expires Feb 27, 2027
CLIA Number45D2277489
Laboratory TypePhysician Office
Certificate Effective DateFebruary 28, 2025
Certificate Expiration DateFebruary 27, 2027
Laboratory DirectorJenson Abraham
Laboratory Phone(903) 257-3929
Laboratory LocationFull Life Primary Care600 E Taylor St Suite 201, Sherman, TX 75090
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TIMOTHY J. RUDDELL, M.D., PLLC
Urology
600 E TAYLOR ST STE 201
SHERMAN, TX 75090
Grayson County (903) 957-1104
JULIA KAYE BESHEARS NP
Nurse Practitioner (Family)
600 E TAYLOR ST STE 201
SHERMAN, TX 75090
Grayson County (903) 257-3929
RANDEE HALLMARK FNP
Nurse Practitioner (Family)
600 E TAYLOR ST STE 201
SHERMAN, TX 75090
Grayson County (903) 957-1104

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Full Life Primary Care PLLC's NPI number?

The NPI number for Full Life Primary Care PLLC is 1427775451. It was assigned to this organization in the NPPES registry on October 20, 2022. The provider is doing business as Full Life Primary Care.

Where is Full Life Primary Care PLLC located?

Full Life Primary Care PLLC is located at 600 E Taylor St Ste 201, Sherman, TX 75090. The listed phone number is (903) 257-3929.

What is Full Life Primary Care PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

Does Full Life Primary Care PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2277489) is associated with this NPI, valid through February 27, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Full Life Primary Care PLLC accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma list Full Life Primary Care PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Full Life Primary Care PLLC was last updated on December 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.