DR. MITCHELL JABLOW
NPI 1235569401
Specialist in Marietta, GA

Q: What is Mitchell Jablow's NPI number?

The NPI number for Mitchell Jablow is 1235569401. It was assigned to this individual provider in the NPPES registry on November 25, 2013.

Q: What is Mitchell Jablow's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: When was this NPI record last updated?

The NPPES record for Mitchell Jablow was last updated on November 25, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 25, 2013PECOS Enrolled

3641 CLUBLAND DR, MARIETTA, GA 30068(770) 757-3220(770) 971-2996 Get Directions Write a Review

NPPES record last updated: November 25, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Mitchell Jablow NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MITCHELL JABLOW (NPI 1235569401) is an individual specialist in Marietta, Georgia, licensed in Georgia (13399) and active in the NPI registry since November 2013. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1235569401

Entity TypeIndividualMale

Primary Taxonomy174400000X

Provider Legal NameDR. MITCHELL JABLOW

Location Address3641 CLUBLAND DRMarietta, GA 30068-4003

Mailing Address3641 Clubland DrMarietta, GA 30068-4003 · (770) 757-3220

Phone(770) 757-3220

Fax(770) 971-2996

Sole ProprietorYes

Enumeration DateNovember 25, 2013

✔ NPI 1235569401 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in GA · 13399

Definition

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.

3641 CLUBLAND DR, Marietta, GA 30068

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Other Identifiers 1

Other13399GA · State Of Ga Medical Board

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mitchell Jablow is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mitchell Jablow's NPI number?

The NPI number for Mitchell Jablow is 1235569401. It was assigned to this individual provider in the NPPES registry on November 25, 2013.

Where is Mitchell Jablow located?

Mitchell Jablow practices at 3641 Clubland Dr, Marietta, GA 30068. The listed phone number is (770) 757-3220.

What is Mitchell Jablow's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Mitchell Jablow enrolled in Medicare?

Yes. Mitchell Jablow is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mitchell Jablow was last updated on November 25, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.