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JACKSON KEITH MIZE ATC
NPI 1881372829
Specialist/Technologist - Athletic Trainer in Kennesaw, GA

Active since July 10, 2023
590 COBB AVENUE MD #0201, KENNESAW, GA 30144(470) 578-2786 Get Directions Write a Review

NPPES record last updated: July 10, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jackson Keith Mize Atc NPPES

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

JACKSON KEITH MIZE ATC (NPI 1881372829) is an individual athletic trainer provider in Kennesaw, Georgia, licensed in Georgia (AT003505) and active in the NPI registry since July 2023. He maintains a secondary practice location in Kennesaw.

NPPES Registry Identity

NPI1881372829
Entity TypeIndividualMale
Primary Taxonomy2255A2300X
Provider Legal NameJACKSON KEITH MIZECredential: ATC
Location Address590 COBB AVENUE MD #0201Kennesaw, GA 30144
Mailing Address3091 Cobb Pkwy Nw Apt 1334Kennesaw, GA 30152-8000 · (256) 509-5364
Phone(470) 578-2786
Sole ProprietorYes
Enumeration DateJuly 10, 2023
NPPES CertifiedJuly 10, 2023
✔ NPI 1881372829 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist · Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2255A2300X
License✔ Licensed in GA · AT003505
Definition
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, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.

Secondary Practice Location 1

Location 13200 George Busbee Pkwy NWKennesaw, GA 30144-4999 · Phone (256) 509-5364

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 Jackson Mize's NPI number?

The NPI number for Jackson Mize is 1881372829. It was assigned to this individual provider in the NPPES registry on July 10, 2023.

Where is Jackson Mize located?

Jackson Mize practices at 590 Cobb Avenue MD #0201, Kennesaw, GA 30144. The listed phone number is (470) 578-2786.

What is Jackson Mize's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Athletic Trainer, with taxonomy code 2255A2300X.

When was this NPI record last updated?

The NPPES record for Jackson Mize was last updated on July 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.