Cory Newby, IDMT
Individual provider Active NPI Independent Duty Medical Technicians · Moody Afb, GA
NPI 1821450123 · NPPES record last updated Nov 5, 2025
Key facts
- NPI
- 1821450123
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Independent Duty Medical Technicians 1710I1003X
- Practice address
- 3280 Mitchell Blvd
Moody Afb, GA 31699-9907 - Phone
- (210) 292-7400
- NPI assigned
- Mar 25, 2016
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Independent Duty Medical Technicians | 1710I1003X | Yes |
Addresses
Primary practice location
3280 Mitchell Blvd
Moody Afb, GA 31699-9907
Mailing address
224 W D. L. Ingram Avenue
BLDG 1408
Cannon Afb, NM 88103
Other providers in Moody Afb, GA
- Taylor Nicole Moore
- Dylan M Morales
- Jeffrey Moran
- Colin Michael Mullaly
- Taylor Murrie-Robinson
- Gaddiel Nieves
- Robert Niewoonder
- Raleigh G. O'Leary
- Jafet A Ojeda Rodriguez
- Samuel Dewayne Oldham
All providers in Moody Afb, GA · Independent Duty Medical Technicians in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 5, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.