NPI age
2 years
Enumerated 2023-07-10
● Active
Type 1 · Individual
Jackson Keith Mize, ATC
Mize is 1 of 24 specialist/technologist providers in Kennesaw and 1 of 1405 in Georgia.
Primary specialty
Specialist/Technologist
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2023-07-10
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
2 years
↓ 7 yr below median (9 yr)
State licenses
1 state
4% of peers hold multiple states
Subspecialties
0
13% of peers hold subspecialties
NPI lifetime · 2023 → 2026
2023-07Enumerated in NPPES
2023
2026
Where they practice
Practice location
590 Cobb Avenue MD #0201
Kennesaw, GA 30144
Mailing address
3091 Cobb Pkwy Nw Apt 1334
Kennesaw, GA 301528000
Additional practice locations
1 secondary location on file with NPPES.
Location 2
3200 George Busbee Pkwy Nw
Kennesaw, GA 301444999
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,...
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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- 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.
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