Promoted to the Class B Winston-Salem Cardinals of the Carolina League in 1950, Mizell got off to a 1–6 start. However, he went on to post a 17–7 record, finishing tied (with Wes Livengood) for fourth in the Carolina League in wins and second (behind Woody Rich) in ERA with a 2.48 mark. He struck out 227 batters in 207 innings, leading Winston-Salem to a championship. In the last game of the season, he hit a home run, the only professional one of his career, which he referred to as a $220 home run because fans passed a hat around and donated that sum in appreciation of his efforts. One night during the season, he sang country music over the public address system at South Side Park and rode around the field on a mule.