P Praxis·MD
● Active Type 1 · Individual

DR. Mitchell Jablow

Specialist·Marietta, GA· NPI 1235569401 · Enumerated 2013 · 12 years on NPI
Jablow is 1 of 74 specialist providers in Marietta and 1 of 1881 in Georgia.
NPI age
12 years
Enumerated 2013-11-25
Primary specialty
Specialist
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2013-11-25
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 1881 active specialist providers in Georgia.

NPI age
12 years
↓ 7 yr below median (19 yr)
State licenses
1 state
1% of peers hold multiple states
Subspecialties
0
7% of peers hold subspecialties

NPI lifetime · 2013 → 2026

2013-11Enumerated in NPPES
2013 2026

Where they practice

Practice location
3641 Clubland Dr
Marietta, GA 300684003
📞 7707573220fax 7709712996
Mailing address
3641 Clubland Dr
Marietta, GA 300684003
📞 7707573220

Specialties

  • Specialist Primary
    An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
    GA license #13399 taxonomy 174400000X

Identifiers

TypeValueNotes
01 (GA) 13399 STATE OF GA MEDICAL BOARD

Practice context

Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.

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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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