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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

EBONEE HOUSEWORTH
NPI 1093627598
Mastectomy Fitter in Hephzibah, GA

Active since September 19, 2026
2510 DRUMCLIFF CT, HEPHZIBAH, GA 30815(803) 906-2558 Get Directions Write a Review

NPPES record added: October 1, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

Record update history: Oct 1, 2026, Sep 19, 2026 (2 updates tracked since 2026).

About Ebonee Houseworth NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EBONEE HOUSEWORTH (NPI 1093627598) is an individual mastectomy fitter provider in Hephzibah, Georgia, licensed in Georgia (CO1002602) and active in the NPI registry since September 2026.

NPPES Registry Identity

NPI1093627598
Entity TypeIndividualFemale
Primary Taxonomy224900000X
Provider Legal NameEBONEE HOUSEWORTH
Location Address2510 DRUMCLIFF CTHephzibah, GA 30815-6621
Mailing Address246 Robt Danel Jr Pkwy # 1225Augusta, GA 30909-0803 · (803) 906-2558
Phone(803) 906-2558
Sole ProprietorNo
Enumeration DateSeptember 19, 2026
Last NPPES UpdateOctober 1, 20262 updates tracked since enumeration
NPPES CertifiedOctober 1, 2026
✔ NPI 1093627598 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyMastectomy FitterRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code224900000X
License✔ Licensed in GA · CO1002602
Definition
An individual trained in the fitting and adjusting of breast prostheses and management of post-mastectomy prostheses services.
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
2510 DRUMCLIFF CT, Hephzibah, GA 30815
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MANE HAIR LOSS SOLUTIONS
Prosthetic/Orthotic Supplier
2510 DRUMCLIFF CT
HEPHZIBAH, GA 30815
Richmond County (803) 906-2558

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ebonee Houseworth's NPI number?

The NPI number for Ebonee Houseworth is 1093627598. It was assigned to this individual provider in the NPPES registry on September 19, 2026.

Where is Ebonee Houseworth located?

Ebonee Houseworth practices at 2510 Drumcliff Ct, Hephzibah, GA 30815. The listed phone number is (803) 906-2558.

What is Ebonee Houseworth's specialty?

The primary specialty registered for this NPI is Mastectomy Fitter with taxonomy code 224900000X.

When was this NPI record last updated?

The NPPES record for Ebonee Houseworth was last updated on October 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.