NPI age
8 years
Enumerated 2017-08-03
● Active
Type 1 · Individual
Charles Aaron Kistler IV, ATC
Kistler is 1 of 179 specialist/technologist providers in Atlanta and 1 of 1405 in Georgia.
Primary specialty
Specialist/Technologist
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2017-08-03
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 1405 active specialist/technologist providers in Georgia.
NPI age
8 years
≈ at median (9 yr)
State licenses
1 state
4% of peers hold multiple states
Subspecialties
0
13% of peers hold subspecialties
NPI lifetime · 2017 → 2026
2017-08Enumerated in NPPES
2017
2026
Where they practice
Practice location
59 Executive Park S Ste 1100
Atlanta, GA 303292208
Mailing address
8259 Wicker Ave
Saint John, IN 463738878
Specialties
-
Specialist/Technologist PrimaryAthletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently,...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | AT002443 | ATC LICENSE |
Practice context
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
Recently enumerated nearby: 1 new specialist/technologist provider has been added in Atlanta in the last 180 days.
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Request a quote →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.