P Praxis·MD
● Active Type 1 · Individual

MS. Stacey Kisil, ATC, CAT(C), CSCS

Specialist/Technologist·Athens, GA· NPI 1780239806 · Enumerated 2019 · 6 years on NPI
Kisil is 1 of 60 specialist/technologist providers in Athens and 1 of 1405 in Georgia.
NPI age
6 years
Enumerated 2019-08-06
Primary specialty
Specialist/Technologist
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2019-08-06
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
6 years
↓ 3 yr below median (9 yr)
State licenses
1 state
4% of peers hold multiple states
Subspecialties
0
13% of peers hold subspecialties

NPI lifetime · 2019 → 2026

2019-08Enumerated in NPPES
2019 2026

Where they practice

Practice location
100 Smith St
Athens, GA 306021505
📞 7062962765
Mailing address
1188 Garden Road
Mississauga, ON L5H 3J6

Specialties

  • Specialist/Technologist Primary
    Athletic 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,...
    GA license #AHY-881471003 taxonomy 2255A2300X

Practice context

Part of a multi-provider practice. 8 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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