Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
IDA ELLIS, CNA
ActiveIDA ELLIS, CNA is a Nurse's Aide healthcare provider located in GRANTVILLE, Georgia. NPI 1134079528 is currently active in the NPPES registry. Verify at CMS.
Nurse's Aide · GRANTVILLE, GA
Registration Details
- NPI Number
- 1134079528
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 3, 2026 (0.50495624419578 yrs)
- Last Updated
- Feb 3, 2026
- License
-
CN0030019746 (GA)
Practice Information
- Address
-
1874 SEWELL RDGRANTVILLE, GA, 302202609Browse GA providers · Browse ZIP 30220
- Phone
- 7707557020
- Fax
- 7707557020
- Primary Specialty
-
Nurse's Aide
376K00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.