Ebonee Houseworth

Primary specialty

Mastectomy FitterTaxonomy code 224900000X

License

CO1002602 Issued in GA

Practice address

2510 Drumcliff CT
Hephzibah, GA 30815-6621

Phone

(803) 906-2558

NPI assigned

Sep 19, 2026

Last updated

Oct 1, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mane Hair Loss Solutions

  • Prosthetic/Orthotic Supplier
  • Hephzibah, GA
  • NPI 1952215345
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1789776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790812800000",
    "number": "1093627598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "246 ROBT DANEL JR PKWY # 1225",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309090803",
            "telephone_number": "803-906-2558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2510 DRUMCLIFF CT",
            "city": "HEPHZIBAH",
            "state": "GA",
            "postal_code": "308156621",
            "telephone_number": "803-906-2558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOUSEWORTH",
        "first_name": "EBONEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-09-19",
        "last_updated": "2026-10-01",
        "certification_date": "2026-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "224900000X",
            "taxonomy_group": "",
            "desc": "Mastectomy Fitter",
            "state": "GA",
            "license": "CO1002602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caliche' Hill
• Tiffany Michelle Hodge
• April Holliman, APRN
• Home Centered Around You
• Hope in the Wheels LLC
• Jasmine Housey
• Marsha G Hughes, CCC-SLP
• Gwendolyn Joan Hunt, RN
• Nancy Mamie Hunt, SLP
• Nicole Ikara, PHARMD

• Mastectomy Fitter in Hephzibah, GA
• Providers in Hephzibah, GA by specialty
• Mastectomy Fitter in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.