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

Kisa W Seymore, MD

Individual provider Family Medicine Physician · NPI 1841200375

Kisa W Seymore, MD is a Family Practice in Cedartown, Georgia. Graduated from East Tennessee State University Quillen College of Medicine in 2004, 22 years ago. Practices with Skin Cancer and Cosmetic Dermatology Center PC, a 24-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
22
Trained at
East Tennessee State University Quillen College of Medicine
Licensed in
GA
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

1025 N Main St
Cedartown, GA 30125-2036
Phone: (770) 748-0076
Fax: (770) 748-9323
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 4221 (GA)
Family Medicine Physician Taxonomy 207Q00000X · Licence 4221 (GA)

Record details

NPI number1841200375
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 8, 2006
Last updated in NPPESNovember 27, 2023
Certification dateApril 29, 2020

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolEAST TENNESSEE STATE UNIVERSITY QUILLEN COLLEGE OF MEDICINE
Graduated 2004 (22 years in practice)
Group practice Skin Cancer And Cosmetic Dermatology Center Pc — 24 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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