IndividualActive
Jackson Mize, ATC
NPI 1881372829 · Athletic Trainer · Kennesaw, GA
Provider details
- NPI number
- 1881372829
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- ATC
- Sex
- Male
- Sole proprietor
- Yes
- License
- AT003505 (GA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
590 Cobb Avenue MD #0201
Kennesaw, GA 30144
Phone: (470) 578-2786
Approximate (ZIP-level) locationGet directions
Mailing address
3091 Cobb Pkwy Nw Apt 1334
Kennesaw, GA 30152-8000
Additional practice locations (1)
- 3200 George Busbee Pkwy NwKennesaw, GA 30144-4999Phone: (256) 509-5364
Registry dates
- Enumerated
- 2023-07-10
- Last updated
- 2023-07-10
- Certified
- 2023-07-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.