Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Miss. Sherenda Lashawn Ellis

Individual provider Home Modifications Contractor · NPI 1821603606

Miss. Sherenda Lashawn Ellis is a Home Modifications Contractor in Conyers, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2020
Specialties on file
5

Practice location Address checks out

1058 Wedgewood Ct
Conyers, GA 30012-7120
Phone: (404) 453-7777
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Phlebotomy Technician (primary) Taxonomy 246RP1900X · Licence 9Y6C9J8J7 (GA)
Home Modifications Contractor Taxonomy 171WH0202X
Home Infusion Agency Taxonomy 251F00000X (GA)
Contractor Taxonomy 171W00000X
Vehicle Modifications Contractor Taxonomy 171WV0202X

Record details

NPI number1821603606
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 9, 2020
Last updated in NPPESApril 24, 2026
Certification dateApril 24, 2026

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