P Praxis·MD
● Active Type 1 · Individual

DR. Eno N Ikoku, M.D.

Military Health Care Provider·Fort Gillem, GA· NPI 1376744946 · Enumerated 2007 · 18 years on NPI
Ikoku is 1 of 1 military health care provider providers in Fort Gillem and 1 of 40 in Georgia.
NPI age
18 years
Enumerated 2007-05-30
Primary specialty
Military Health Care Provider
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2007-07-08
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 40 active military health care provider providers in Georgia.

NPI age
18 years
↑ 7 yr above median (11 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
0
12% of peers hold subspecialties

NPI lifetime · 2007 → 2026

2007-05Enumerated in NPPES
2007 2026

Where they practice

Practice location
1500 Hood Avenue, Building 720
Fort Gillem, GA 302975000
📞 4044693090
Mailing address
7256 Iverson Trl
Lithonia, GA 300589019
📞 7704827636

Specialties

  • Military Health Care Provider Primary
    Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
    GA license #30942 taxonomy 171000000X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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