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

Koki Ikeda, ATC

Individual provider Athletic Trainer · NPI 1437822715

Koki Ikeda, ATC is an Athletic Trainer in Macon, Georgia. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

1501 Mercer University Dr
Macon, GA 31207-1515
Phone: (209) 355-7806
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X

Record details

NPI number1437822715
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC
Sole proprietorNo
NPI enumeratedAugust 1, 2021
Last updated in NPPESAugust 1, 2021
Certification dateAugust 1, 2021
Mailing address296 Orange St Apt 5, Macon, GA 31201-1688

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