Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Joshua Ridikas Parker

Individual provider Athletic Trainer · NPI 1083205801

Joshua Ridikas Parker is an Athletic Trainer in Fayetteville, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2021

Practice location Address checks out

168 Ebenezer Church Rd
Fayetteville, GA 30215-5201
Phone: (770) 639-7949
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence AT002879 (GA)

Record details

NPI number1083205801
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedFebruary 3, 2021
Last updated in NPPESFebruary 3, 2021
Certification dateFebruary 3, 2021

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