Provider Demographics
NPI:1699231274
Name:ELKINS, BELINDA ANNETTE
Entity type:Individual
Prefix:
First Name:BELINDA
Middle Name:ANNETTE
Last Name:ELKINS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6110 ALTAMA AVE
Mailing Address - Street 2:UNIT 112
Mailing Address - City:BRUNSWICK
Mailing Address - State:GA
Mailing Address - Zip Code:31525-1827
Mailing Address - Country:US
Mailing Address - Phone:912-222-6410
Mailing Address - Fax:912-222-6410
Practice Address - Street 1:6110 ALTAMA AVE
Practice Address - Street 2:UNIT 112
Practice Address - City:BRUNSWICK
Practice Address - State:GA
Practice Address - Zip Code:31525-1872
Practice Address - Country:US
Practice Address - Phone:912-222-6410
Practice Address - Fax:912-222-6410
Is Sole Proprietor?:Yes
Enumeration Date:2019-02-19
Last Update Date:2020-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA063-R-2025253Z00000X, 374U00000X, 261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
No253Z00000XAgenciesIn Home Supportive Care
No374U00000XNursing Service Related ProvidersHome Health Aide