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Active NPI 1285473876 Individual Practitioner Female Practitioner

Mandy Leann Kisor , FNP-C

Nurse Practitioner • Cedartown, GA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Mandy Kisor, FNP-C is a certified Nurse Practitioner practicing in Cedartown, GA. With approximately 2 years of clinical experience since completing medical education in 2024, Mandy Kisor delivers high-quality medical care to the local community at 1168 N MAIN ST STE 110.

Mandy Kisor is affiliated with Harbin Clinic Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, injection beneath the skin or into muscle for therapy, diagnosis, or prevention. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1168 N Main St Ste 110

Cedartown, GA 301252039

Telephone 7707491005
Fax 7707491119
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2024

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Cedartown, GA

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
2 Yrs -10.7 yrs vs City Avg
City Avg: 12.7 Yrs
State Avg: 10.5 Yrs
Regional Practice Density
11 Specialists

Practicing in Cedartown, GA (3149 Statewide)

Telehealth Adoption Rate
18.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
47.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Kisor (2 Years) 2 Yrs
Cedartown Specialty Average (12.7 Years) 12.7 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
27 26 $160.00 $101.84
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention
14 11 $55.00 $11.19

Medical Specialties & State Licenses

CMS Verified: 2026-06-02
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License GA GAA-NP002532

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Hospital & Practice Group Affiliations

Harbin Clinic Llc

14 Cherokee Rd, Cedartown, GA 301254381

Phone: 7707495400

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
Jina Ford , NP-C

Nurse Practitioner

NPI 1235520214

Nurse Practitioner (Certified)

NPI 1255081642

Doctor of Osteopathic Medicine (D.O.)

NPI 1699753921

Doctor of Medicine (M.D.)

NPI 1780901611

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events
📍
Updated Practice Location June 02, 2026

Registered at 1168 N MAIN ST STE 110, CEDARTOWN, GA 301252039 (Tel: 7707491005)

📍
Updated Business Mailing Address June 02, 2026

Registered at PO BOX 12938, C/O CLINIC MANAGEMENT, CALHOUN, GA 30703 (Tel: 7066027800)

📍
Updated Practice Location August 20, 2024

Registered at 14 CHEROKEE RD, CEDARTOWN, GA 301254381 (Tel: 7707495400)

📍
Updated Business Mailing Address August 20, 2024

Registered at 221 TECHNOLOGY PKWY NW, ROME, GA 301651369 (Tel: 7622351000)

👤
Provider Name / Credentials Updated August 20, 2024

Recorded as MANDY KISOR, FNP-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 20, 2024

Nurse Practitioner (License #GAA-NP002532 in GA)

NPI Profile Active May 22, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location May 22, 2024

Registered at 6430 COUNTY ROAD 5, LEESBURG, AL 359835346 (Tel: 2565041738)

📍
Updated Business Mailing Address May 22, 2024

Registered at 6430 COUNTY ROAD 5, LEESBURG, AL 359835346 (Tel: 2565041738)

👤
Provider Name / Credentials Updated May 22, 2024

Recorded as MANDY KISOR, CRNP, FNP-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 22, 2024

Nurse Practitioner (License #1-128110 in AL)

🟢
Initial NPI Registration & Enumeration May 22, 2024

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1285473876
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 22, 2024
Last Update: June 02, 2026
Sole Proprietor: No

Mailing Address

Po Box 12938, C/o Clinic Management

Calhoun, GA 30703

Phone: 7066027800

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.