| Mandy Leann Kisor, FNP-C | |
|
1168 N Main St Ste 110, Cedartown, GA 30125-2039 | |
| (770) 749-1005 | |
| (770) 749-1119 |
| Full Name | Mandy Leann Kisor |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 2 Years |
| Location | 1168 N Main St Ste 110, Cedartown, Georgia |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285473876 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | GAA-NP002532 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Atrium Health Floyd Medical Center | Rome, GA | Hospital |
| Atrium Health Floyd Polk Medical Center | Cedartown, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Adventist Health System Georgia Inc | 4486568037 | 247 |
| Harbin Clinic Llc | 0446154231 | 238 |
| Entity Name | Harbin Clinic LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679599088 PECOS PAC ID: 0446154231 Enrollment ID: O20031124000117 |
| Entity Name | Adventist Health System Georgia Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699791343 PECOS PAC ID: 4486568037 Enrollment ID: O20031203000557 |
| Entity Name | Georgia Hospitalists Group, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033576376 PECOS PAC ID: 0840434866 Enrollment ID: O20130912000799 |
| Mailing Address | Practice Location Address |
|---|---|
| Mandy Leann Kisor, FNP-C Po Box 12938, C/o Clinic Management, Calhoun, GA 30703 Ph: (706) 602-7800 | Mandy Leann Kisor, FNP-C 1168 N Main St Ste 110, Cedartown, GA 30125-2039 Ph: (770) 749-1005 |
Amy Tillmann Norris, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 125 E Ware St, Cedartown, GA 30125 Phone: 770-749-2270 Fax: 770-749-2298 |
Jessica Mae Ikinci, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2370 Rockmart Hwy, Cedartown, GA 30125 Phone: 770-748-7818 Fax: 770-748-7819 |
Misty Autumn Curry, RN Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 114 Plantation Ave, Cedartown, GA 30125 Phone: 678-901-0717 Fax: 678-901-0718 |
Cherry Lee Tison, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 424 N Main St, Cedartown, GA 30125 Phone: 770-748-2500 |
Susan B Wilson, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 134 E Fairmount Ave, Cedartown, GA 30125 Phone: 770-748-5212 Fax: 770-748-2944 |
Jina Lynn Ford, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1168 N Main St, Cedartown, GA 30125 Phone: 770-749-1005 |
Hannah Bell Helton, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2360 Rockmart Hwy, Cedartown, GA 30125 Phone: 770-748-2500 |