Active NPI
Drew Matthew Sumrall, DDS
- General Practice Dentistry
- Madison, AL
National Provider Identifier
1407742240
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- D.007457-C1
- Practice address
- 12090 County Line Rd Ste L
Madison, AL 35756-2002 - Phone
- (256) 864-2739
- NPI assigned
- Jun 17, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | D.007457-C1 | AL | Primary |
Addresses
Primary practice location
12090 County Line Rd Ste L
Madison, AL 35756-2002
Mailing address
110 Oakland SPGS Unit 4309
Madison, AL 35756-5577
Phone (228) 219-7256
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D.007457-C1 | AL | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1750118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750118400000",
"number": "1407742240",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 OAKLAND SPGS UNIT 4309",
"city": "MADISON",
"state": "AL",
"postal_code": "357565577",
"telephone_number": "228-219-7256"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12090 COUNTY LINE RD STE L",
"city": "MADISON",
"state": "AL",
"postal_code": "357562002",
"telephone_number": "256-864-2739"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUMRALL",
"first_name": "DREW",
"middle_name": "MATTHEW",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-06-17",
"last_updated": "2025-06-17",
"certification_date": "2025-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "AL",
"license": "D.007457-C1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Madison, AL
- Steve Luttrell Sullins, O.D.
- Sullivan Medical, LLC (Madison Primary Care and Wellness Center)
- Alicia Monique Sullivan-Smith, LMHC
- Rachel Renay Sullivan
- Veronica Harkness Sullivan, PMHNP-BC, DNP
- Kresta Lee Sunderman, CRNP
- Heather Lynn Surber, LCSW
- Daniel Donald Swartz, M.D.
- Jacqueline Y Sylvester, M.D. F.A.C.O.G
- Catherine W Tackett, RPH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.