JACKSON KEITH MIZE ATC
NPI 1881372829
Specialist/Technologist - Athletic Trainer in Kennesaw, GA
NPI Status: Active since July 10, 2023
Contact Information
590 COBB AVENUE MD #0201
KENNESAW, GA
ZIP 30144
Phone: (470) 578-2786
- Individual
- Male
- Specialist/Technologist
- Athletic Trainer
About JACKSON MIZE
This page provides the complete NPI Profile along with additional information for Jackson Mize, a provider established in Kennesaw, Georgia with a medical specialization in Specialist/technologist, focusing in athletic trainer . The healthcare provider is registered in the NPI registry with number 1881372829 assigned on July 2023. The practitioner's primary taxonomy code is 2255A2300X with license number AT003505 (GA). The provider is registered as an individual and his NPI record was last updated 3 years ago.
- NPI
- 1881372829
- Provider Name
- JACKSON KEITH MIZE ATC
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 590 COBB AVENUE MD #0201 KENNESAW, GA 30144
- Location Phone
- (470) 578-2786
- Mailing Address
- 3091 COBB PKWY NW APT 1334 KENNESAW, GA 30152
- Mailing Phone
- (256) 509-5364
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 07-10-2023
- Last Update Date
- 07-10-2023
- Code Navigator
Location Map
Secondary Locations
- 3200 George Busbee Pkwy NW
Kennesaw, GA 30144
(256) 509-5364
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Specialist/Technologist Athletic Trainer
- Taxonomy Code
- 2255A2300X
- Type
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- License No.
- AT003505
- License State
- GA
- Taxonomy Description
- 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.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1881372829, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 71. The final step is to find the difference between that total and the next multiple of ten (80 - 71 = 9).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 71 is 80. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1881372829, enumerated as an "individual" on July 10, 2023.
The provider is located at 590 COBB AVENUE MD #0201 KENNESAW, GA 30144 and the phone number is (470) 578-2786.
Specialist/Technologist with taxonomy code 2255A2300X and a focus in Athletic Trainer.
