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

Ida Ellis, CNA

Individual provider Nurse's Aide · NPI 1134079528

Ida Ellis, CNA is a Nurse's Aide in Grantville, Georgia. Licensed in Georgia. Registered with an NPI since 2026.

Licensed in
GA
In the registry since
2026

Practice location Address checks out

1874 Sewell Rd
Grantville, GA 30220-2609
Phone: (770) 755-7020
Fax: (770) 755-7020
Show map & directions

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

Specialties & licences

Nurse's Aide (primary) Taxonomy 376K00000X · Licence CN0030019746 (GA)

Record details

NPI number1134079528
Entity typeIndividual (Type 1)
GenderFemale
Credentials CNA
Sole proprietorNo
NPI enumeratedFebruary 3, 2026
Last updated in NPPESFebruary 3, 2026
Certification dateFebruary 3, 2026
Mailing address1874 Sewell Rd, Grantville, GA 30220-2609