Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Michael K Kizziah, MD

Individual provider Body Imaging Physician · NPI 1124108923

Dr. Michael K Kizziah, MD is a Diagnostic Radiology in Rome, Georgia. Graduated from Mercer University School of Medicine in 2005, 21 years ago. Practices with South Georgia Radiology Associates LLC, a 33-clinician group and accepts Medicare assignment. Licensed in Georgia and South Carolina.

Years since qualifying
21
Trained at
Mercer University School of Medicine
Licensed in
GA, SC
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

255 W 5th St SW Ste 150
Rome, GA 30165-2817
Phone: (706) 232-1545
Fax: (706) 232-3819
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 065694 (GA)
Body Imaging Physician Taxonomy 2085B0100X · Licence 27944 (SC)

Record details

NPI number1124108923
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 16, 2006
Last updated in NPPESJuly 30, 2026
Certification dateJuly 30, 2026
Mailing addressPo Box 369, Rome, GA 30162-0369

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolMERCER UNIVERSITY SCHOOL OF MEDICINE
Graduated 2005 (21 years in practice)
Group practice South Georgia Radiology Associates Llc — 33 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations36 on file with Medicare

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