● Active Type 1 · Individual

DR. Michael K Kizziah, M.D.

Radiology·Rome, GA· NPI 1124108923 · Enumerated 2006 · 19 years on NPI

Kizziah is 1 of 24 radiology providers in Rome and 1 of 1280 in Georgia.

NPI age

19 years

Enumerated 2006-10-16

Primary specialty

Radiology

Plus 1 subspecialty

Licensed in

GA, SC

2 states

Status

Active

No deactivations on record

Last NPPES update

2016-11-09

Source: monthly bulk 2026-05

Sole proprietor

May be part of a larger org

How this provider compares

Across 1280 active radiology providers in Georgia.

NPI age

19 years

≈ at median (19 yr)

State licenses

2 states

Top 78% — 21% of peers are multi-state

Subspecialties

In the 38% of peers with subspecialties

NPI lifetime · 2006 → 2026

2006-10Enumerated in NPPES

2006 2026

Where they practice

Practice location

255 W 5th St Sw, Suite 150

Rome, GA 301652817

📞 7062321545fax 7062323819

Mailing address

Po Box 369

Rome, GA 301620369

📞 7062912661fax 7062354177

Specialties

Allopathic & Osteopathic Physicians › Radiology

Radiology Primary

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

GA license #065694 taxonomy 2085R0202X
Radiology

A Radiology doctor of Osteopathy that specializes in Body Imaging.

SC license #27944 taxonomy 2085B0100X

Identifiers

Type	Value	Notes
05 (GA)	003123794B
05 (SC)	279442

Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.

Practice context

Part of a multi-provider practice. 26 other active providers share this practice address in NPPES.

Recently enumerated nearby: 1 new radiology provider has been added in Rome in the last 180 days. See all →

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How to verify this provider

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