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COMMUNITY FIRST PRIMARY CARE
NPI 1972016384
Nurse Practitioner - Gerontology in Carrollton, TX

Active since November 07, 2017
2410 LUNA RD # 204, CARROLLTON, TX 75006(844) 469-7072 Get Directions Write a Review

NPPES record last updated: October 14, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 9, 2023, Jun 4, 2023, Jul 30, 2021 and 1 more (4 updates tracked since 2017).

About Community First Primary Care NPPES

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

COMMUNITY FIRST PRIMARY CARE (NPI 1972016384) is a healthcare organization registered as a gerontology in Carrollton, Texas and active in the NPI registry since November 2017. The organization maintains a secondary practice location in Grapevine and lists Nidish Jose, Ceo, as its authorized official.

NPPES Registry Identity

NPI1972016384
Entity TypeOrganization
Primary Taxonomy363LG0600X
Legal Business NameSUNNYSSIX, PLLC
Location Address2410 LUNA RD # 204Carrollton, TX 75006-6538
Mailing Address2410 Luna Rd # 204Carrollton, TX 75006-6538 · (469) 844-7072
Phone(844) 469-7072
Organization SubpartNo
Authorized OfficialNidish JoseCeo · (817) 823-5464
Enumeration DateNovember 7, 2017
Last NPPES UpdateOctober 14, 20244 updates tracked since enumeration
NPPES CertifiedOctober 14, 2024
✔ NPI 1972016384 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in TX · AP134568
2410 LUNA RD # 204, Carrollton, TX 75006
Open in Google Maps ↗

Other Names 1

Doing Business AsCommunity First Primary Care

Secondary Practice Location 1

Location 12321 Ira E Woods Ave Ste 120Grapevine, TX 76051-8632 · Phone (469) 844-7072

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Community First Primary Care is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Community First Primary Care, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Denise Pack, NP
Nurse Practitioner
NPI 1124732185
13140 COIT RD STE 315
Dallas, TX 75240
(214) 272-7829
✔ PECOS9.2 mi
Trevor Parson
Nurse Practitioner
NPI 1417308214
3200 TEASLEY LN
Denton, TX 76210
(940) 382-1810
✔ PECOS21 mi
Nidish Jose, AGNP-C
Nurse Practitioner
NPI 1104348903
3415 NORTH HERITAGE PARKWAY
Sherman, TX 75092
(903) 308-4336
✔ PECOS✔ Accepts Medicare54 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 45D2313321

Sunnyssix, PLLC Dba Community First Primary Care · Grapevine, TX
Expired · Oct 28, 2026
CLIA Number45D2313321
Laboratory TypePractitioner Other
Certificate Effective DateOctober 29, 2024
Certificate Expiration DateOctober 28, 2026
Laboratory DirectorNidish K. Jose
Laboratory Phone(469) 844-7072
Laboratory LocationSunnyssix, PLLC Dba Community First Primary Care2321 Ira E Woods Ave Ste 120, Grapevine, TX 76051
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Sunnyssix, PLLC's NPI number?

The NPI number for Sunnyssix, PLLC is 1972016384. It was assigned to this organization in the NPPES registry on November 7, 2017. The provider is doing business as Community First Primary Care.

Where is Sunnyssix, PLLC located?

Sunnyssix, PLLC is located at 2410 Luna Rd # 204, Carrollton, TX 75006. The listed phone number is (844) 469-7072.

What is Sunnyssix, PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Sunnyssix, PLLC enrolled in Medicare?

Yes. Sunnyssix, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Sunnyssix, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Sunnyssix, PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Sunnyssix, PLLC was last updated on October 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.