Healthcare Provider Details

I. General information

NPI: 1457285819
Provider Name (Legal Business Name): ASHLEY NICHOLE NEWMAN ED.D., CPT, CNC, FWS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/10/2026
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

146 HAMILTON AVE
WINDER GA
30680-2114
US

IV. Provider business mailing address

146 HAMILTON AVE
WINDER GA
30680-2114
US

V. Phone/Fax

Practice location:
  • Phone: 678-381-5430
  • Fax:
Mailing address:
  • Phone: 678-381-5430
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number1251429649
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: