Edwin Cottrell Sr., VETERAN

Primary specialty

Health & Wellness CoachTaxonomy code 171400000X

License

171400000X Issued in GA

Practice address

7301 Stonecrest Concourse
Stonecrest, GA 30038-6901

Phone

(470) 854-0656

NPI assigned

Dec 5, 2025

Last updated

Dec 5, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Earleteya Cottrell Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1764892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764892800000",
    "number": "1235092271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8016 WHITE OAK LOOP",
            "city": "STONECREST",
            "state": "GA",
            "postal_code": "300383306",
            "telephone_number": "470-854-0656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7301 STONECREST CONCOURSE",
            "city": "STONECREST",
            "state": "GA",
            "postal_code": "300386901",
            "telephone_number": "470-854-0656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COTTRELL",
        "first_name": "EDWIN",
        "name_suffix": "Sr.",
        "credential": "VETERAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-12-05",
        "last_updated": "2025-12-05",
        "certification_date": "2025-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": "GA",
            "license": "171400000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EARLETEYA",
            "last_name": "COTTRELL",
            "credential": "RN, BSN, MBA, NASM",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Health & Wellness Coach in Stonecrest, GA
• Providers in Stonecrest, GA by specialty
• Health & Wellness Coach in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2025; 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.