Individual provider Active NPI

Michael K Kizziah, M.D.

  • Diagnostic Radiology Physician
  • Rome, GA
National Provider Identifier
1124108923
Registry record updated Jul 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
065694 Issued in GA
Practice address
255 W 5TH St SW
Suite 150
Rome, GA 30165-2817
Phone
(706) 232-1545
Fax
(706) 232-3819
NPI assigned
Oct 16, 2006
Last updated
Jul 30, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Body Imaging Physician 2085B0100X 27944 SC
Diagnostic Radiology Physician 2085R0202X 065694 GA Primary

Addresses

Primary practice location

255 W 5TH St SW
Suite 150
Rome, GA 30165-2817

Mailing address

PO Box 369
Rome, GA 30162-0369
Phone (706) 291-2661

Other identifiers 2

IdentifierTypeStateIssuer
279442MedicaidSC
003123794BMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, AL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110624000417 GA Practitioner - Diagnostic Radiology 5092849505 Reassigns benefits to 5 organizations
I20181108000671 AL Practitioner - Diagnostic Radiology 5092849505 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Mercer University School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Georgia Radiology Associates LLCGroup PAC ID 0042389231, 32 clinicians
Rome Radiology Group PAGroup PAC ID 8921091695, 23 clinicians
Harbin Clinic LLCGroup PAC ID 0446154231, 238 clinicians
Rome Imaging AssociatesGroup PAC ID 8820089121, 7 clinicians
Sterling Radiology LLCGroup PAC ID 1254705338, 16 clinicians

Practice addresses (Care Compare)

101 Greensboro Rd
Eatonton, GA 31024-6054
Phone (888) 545-5551

1035 Red Bud Rd NE
Calhoun, GA 30701-6010
Phone (706) 602-7800

116 W Thigpen Ave
Lakeland, GA 31635-1011
Phone (888) 545-5551

1221 E McPherson Ave
Nashville, TN 31639-2326
Phone (912) 660-6220

150 Gentilly Blvd
Cartersville, GA 30120-8522
Phone (470) 490-7470

1500 E Shotwell St
Bainbridge, GA 39819-4256
Phone (888) 545-5551

163 E Tollison St
Baxley, GA 31513-0120
Phone (912) 367-9841

163 S Tallahassee St
Hazlehurst, GA 31539-6465
Phone (912) 375-7781

172 MJ Taylor Rd
Adel, GA 31620-2064
Phone (912) 225-0938

1825 Martha Berry Blvd NW
Rome, GA 30165-1625
Phone (762) 235-2495

200 Perry House Rd
Fitzgerald, GA 31750-8857
Phone (912) 660-6220

2225 US Hwy 41 N
Tifton, GA 31794-2749
Phone (888) 545-5551

255 W 5TH St
Suite 150
Rome, GA 30165-2817
Phone (706) 232-1545

2855 Old Hwy 5
Blue Ridge, GA 30513-6248
Phone (912) 225-0938

29 Bridgeview Dr SE
Rome, GA 30161-8472
Phone (912) 225-0938

302 S Wayne St
Alma, GA 31510-2922
Phone (912) 632-8961

304 Turner McCall Blvd SW
Rome, GA 30165-5621
Phone (706) 509-5000

3131 S Main St
Moultrie, GA 31768-6925
Phone (229) 890-3500

35 Hospital Rd
Suite 100
Blairsville, GA 30512-3139
Phone (912) 225-0938

400 Cedar St
Metter, GA 30439-3338
Phone (912) 660-6220

400 Northwodd Dr
Centre, AL 35960-1023
Phone (256) 927-5531

501 Redmond Rd NW
Rome, GA 30165-1415
Phone (706) 291-0291

509 Sumter St
Montezuma, GA 31063-1733
Phone (888) 545-5551

541 Historic Hwy 441-N
Demorest, GA 30535-0037
Phone (912) 225-0938

610 Sparta Rd
Sandersville, GA 31082-1860
Phone (912) 225-0938

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Merit-based Incentive Payment System (MIPS)

Final score
83.23 of 100Reported as group
Quality
65.74
Promoting interoperability
100
Improvement activities
40
Cost
78.37

Merit-based Incentive Payment System (MIPS)

Final score
90.84 of 100Reported as group
Quality
87.81
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
065694GAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rome Imaging Associates CurrentSince Jul 1, 2011 Accepting new patients
American Health Imaging of Georgia, LLC CurrentSince Nov 10, 2022 Accepting new patients
Harbin Clinic, LLC CurrentSince Jul 1, 2011 Accepting new patients
Bca Georgia, LLC CurrentSince Dec 20, 2023 Accepting new patients
Harbin Clinic, LLC CurrentSince Jul 1, 2011 Accepting new patients
South Georgia Radiology Associates, LLC Diagnostic Radiology CurrentSince Sep 23, 2023 Accepting new patients
Sterling Radiology LLC Body Imaging CurrentSince Jan 1, 2026 Accepting new patients
Rome Radiology Group, PA Body Imaging CurrentSince Jul 1, 2011 Accepting new patients
Lima Memorial Professional Corporation PastSince Jun 1, 2025 Accepting new patients
F&S Radiology, P.C. Diagnostic Radiology PastSince May 28, 2025 Accepting new patients
Floyd Healthcare Management Inc Past Accepting new patients

Locations (25 of 74)

400 Northwood Dr
Centre, AL 35960
Phone (256) 927-1382

200 Medical Center Dr SW
Fort Payne, AL 35968
Phone (256) 845-3150

172 Mj Taylor Rd
Adel, GA 31620
Phone (229) 896-3424

260 Mj Taylor Rd
Adel, GA 31620
Phone (229) 247-2290

2822 Nottingham Way
Ste 3
Albany, GA 31707
Phone (229) 304-5261

302 S Wayne St
Alma, GA 31510
Phone (912) 632-8961

611 E Washington Ave
Ashburn, GA 31714
Phone (229) 353-2500

1500 E Shotwell St
Bainbridge, GA 39819
Phone (229) 243-6100

100 Highway 18 W
Barnesville, GA 30204
Phone (770) 358-0674

163 E Tollison St
Baxley, GA 31513
Phone (912) 367-9847

277 Lackawanna St
Baxley, GA 31513
Phone (912) 366-1362

950 S Main St
Ste 2
Baxley, GA 31513
Phone (912) 367-2596

19 Doctors Way
Ste A
Blairsville, GA 30512

630 Columbia St
Blakely, GA 39823
Phone (229) 723-4241

2855 Old Highway 5
Blue Ridge, GA 30513
Phone (706) 632-4263

902 N 7th St
Cordele, GA 31015
Phone (229) 276-3100

541 441 Historic Hwy N
Demorest, GA 30535
Phone (706) 839-4000

1101 Ocilla Rd
Douglas, GA 31533
Phone (912) 383-5641

200 Fairview Park Dr
Dublin, GA 31021
Phone (478) 272-6150

1120 Indian Dr
Eastman, GA 31023
Phone (478) 354-4220

901 Griffin Ave
Eastman, GA 31023
Phone (478) 374-4000

101 Lake Oconee Pkwy
Eatonton, GA 31024
Phone (706) 485-0907

4 Medical Dr
Elberton, GA 30635
Phone (706) 213-2527

200 Perry House Rd
Fitzgerald, GA 31750
Phone (229) 424-1461

88 Martin Luther King Jr Dr
Forsyth, GA 31029
Phone (419) 994-2521

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785369600000",
    "number": "1124108923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 369",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301620369",
            "telephone_number": "706-291-2661",
            "fax_number": "706-235-4177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 W 5TH ST SW",
            "address_2": "SUITE 150",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301652817",
            "telephone_number": "706-232-1545",
            "fax_number": "706-232-3819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIZZIAH",
        "first_name": "MICHAEL",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-16",
        "last_updated": "2026-07-30",
        "certification_date": "2026-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "SC",
            "license": "27944",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "GA",
            "license": "065694",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "279442",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003123794B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rome, GA

Sources for this page

Verify at the official NPI Registry.