Sherylene Elizabeth Edmonson

Individual provider Active NPI Durable Medical Equipment & Medical Supplies · Lanett, AL

NPI 1538052154 · NPPES record last updated Jun 2, 2025

Key facts

NPI
1538052154
Entity type
Individual (NPI type 1)
Primary specialty
Durable Medical Equipment & Medical Supplies 332B00000X
License
61582 (AL)
Practice address
1212 21St St SW
Lanett, AL 36863-4660
Phone
(706) 518-5390
NPI assigned
Jun 2, 2025
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
61582ALMDDurable Medical Equipment & Medical Supplies

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetics Case Management 1744P3200X 61582 AL
Prosthetic/Orthotic Supplier 335E00000X 61582 AL
Durable Medical Equipment & Medical Supplies 332B00000X 61582 AL Yes

Addresses

Primary practice location

1212 21St St SW
Lanett, AL 36863-4660

Mailing address

1212 21St St SW
Lanett, AL 36863-4660
Phone (706) 518-5390

Other providers in Lanett, AL

All providers in Lanett, AL · Durable Medical Equipment & Medical Supplies in Alabama

Sources for this page

Verify at the official NPI Registry.