NPIMap

Organization Active NPI

Community Clinic, Inc

Doing business as CCI Health Services

  • Federally Qualified Health Center (FQHC)
  • Silver Spring, MD
National Provider Identifier
1124169073
Registry record updated Aug 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
COMMUNITY CLINIC, INC
Doing business as
CCI Health Services
Practice address
8630 Fenton St
Suite 1200
Silver Spring, MD 20910-3806
Phone
(301) 585-1250
Fax
(301) 585-6289
NPI assigned
Feb 12, 2007
Last updated
Aug 7, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2025

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

Authorized official

Name
Dr. Sonya J BrutonNPI 1568016608
Title
Ceo & President
Phone
(240) 839-5107

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Voluntary or Charitable Agency 251V00000X
Community Health Clinic/Center 261QC1500X
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

8630 Fenton St
Suite 1200
Silver Spring, MD 20910-3806

Mailing address

8665 Georgia Ave
Silver Spring, MD 20910-3405
Phone (301) 340-7525

Other names 2

  • CCI Health Services Doing business as
  • CCI Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111129000021 MD Part A Provider - Federally Qualified Health Center (FQHC) 6204722614 Practice locations: Silver Spring, MD

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1124169073. Details of each certification follow.

Federally qualified health center certification: CCN 211885

Legal name
COMMUNITY CLINIC, INC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Nov 29, 2011
Last certification
Nov 29, 2011
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Feb 1, 1975 in MD
Enrollment address
8630 Fenton St
Ste 1200
Silver Spring, MD 20910-3808

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Community Clinic Inc13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

Organizations that report the same tax identification number in the National Provider Directory.

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DGIFAA

Ownership & related parties

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Sonya Bruton Individual Corporate OfficerCeo Apr 1, 2020
W-2 Managing EmployeeCeo Apr 1, 2020
Operational/Managerial ControlCeo Apr 1, 2022
Latechia Chambers Individual W-2 Managing EmployeeBilling/Provider Enrollment Coordin Dec 13, 2022

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Cci Health ServicesTakoma Park, MD, CCN 211886 Federally qualified health center Operational/Managerial Control (100%) Apr 1, 2020
Community Clinic, IncGreenbelt, MD, CCN 211928 Federally qualified health center Other Dec 19, 2017

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754524800000",
    "number": "1124169073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8665 GEORGIA AVE",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209103405",
            "telephone_number": "301-340-7525",
            "fax_number": "301-495-0318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8630 FENTON ST",
            "address_2": "SUITE 1200",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209103806",
            "telephone_number": "301-585-1250",
            "fax_number": "301-585-6289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY CLINIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2025-08-07",
        "certification_date": "2025-08-07",
        "status": "A",
        "authorized_official_last_name": "BRUTON",
        "authorized_official_first_name": "SONYA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO & PRESIDENT",
        "authorized_official_telephone_number": "240-839-5107",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CCI Health Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CCI",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "CCI",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Silver Spring, MD

Sources for this page

Verify at the official NPI Registry.