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

Mandy Leann Kisor, FNP-C

Individual provider Nurse Practitioner · NPI 1285473876

Mandy Leann Kisor, FNP-C is a Nurse Practitioner in Cedartown, Georgia. Qualified in 2024, 2 years ago. Practices with Adventist Health System Georgia Inc, a 244-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
2
Licensed in
GA
In the registry since
2024
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

1168 N Main St Ste 110
Cedartown, GA 30125-2039
Phone: (770) 749-1005
Fax: (770) 749-1119
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence GAA-NP002532 (GA)

Record details

NPI number1285473876
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedMay 22, 2024
Last updated in NPPESJune 2, 2026
Certification dateJune 2, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Adventist Health System Georgia Inc — 244 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Cedartown