Individual provider · Type 1 NPI
Ida Ellis, CNA
Nurse's Aide · Grantville, GA
Practice location
1874 Sewell Rd
Grantville, GA 30220-2609
Fax (770) 755-7020
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse's Aide Primary | 376K00000X | CN0030019746 (GA) |
Nurse's Aide: (1) An unlicensed individual who is trained to function in an assistive role to the licensed nurse in the provision of patient/client activities as delegated by the nurse; (2) An individual trained (either on-the-job or through a formal course generally of less than one year) and experienced in performing patient or client-care nursing tasks that do not require the skills of a specialist, technician, or professional…
About NPI 1134079528
Ida Ellis, CNA's National Provider Identifier is 1134079528, issued on Feb 3, 2026. The primary taxonomy on file is Nurse's Aide (376K00000X), and the practice location is in Grantville, GA. The record was last updated on Feb 3, 2026.