Healthcare Provider Details

I. General information

NPI: 1306769666
Provider Name (Legal Business Name): MS. ELLEN HELMS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/03/2026
Last Update Date: 08/03/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1210 BRAMPTON AVE
STATESBORO GA
30458
US

IV. Provider business mailing address

1210 BRAMPTON AVE
STATESBORO GA
30458
US

V. Phone/Fax

Practice location:
  • Phone: 912-489-1787
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License NumberHADS001200
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: