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MRS. CARISALYN NICOLE COUSIN APRN BC
NPI 1124085972
Nurse Practitioner - Family in Cartersville, GA

Active since April 26, 2006PECOS EnrolledAccepts Medicare Assignment
12 MEDICAL DR NE, CARTERSVILLE, GA 30121(770) 386-1000(770) 386-9165 Get Directions Write a Review

NPPES record last updated: December 9, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 9, 2025, Sep 9, 2022, Feb 13, 2017 (3 updates tracked since 2017).

About Mrs. Carisalyn Nicole Cousin Aprn Bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. CARISALYN NICOLE COUSIN APRN BC (NPI 1124085972) is an individual family provider in Cartersville, Georgia, licensed in Georgia (APRN-NP271422) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1997).

NPPES Registry Identity

NPI1124085972
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. CARISALYN NICOLE COUSINCredential: APRN BC
Location Address12 MEDICAL DR NECartersville, GA 30121-8002
Mailing AddressPo Box 12938, C/o Clinic ManagementCalhoun, GA 30703 · (706) 602-7800
Phone(770) 386-1000
Fax(770) 386-9165
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateApril 26, 2006
Last NPPES UpdateDecember 9, 20253 updates tracked since enumeration
NPPES CertifiedDecember 9, 2025
✔ NPI 1124085972 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in GA · APRN-NP271422
12 MEDICAL DR NE, Cartersville, GA 30121
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Carisalyn Nicole Cousin Aprn Bc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6608175443
PECOS Enrollment IDI20211028000339
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30121 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. OMER SALEEM BAIG
Internal Medicine
12 MEDICAL DR NE
CARTERSVILLE, GA 30121
Bartow County (770) 386-1000
MRS. ABIGAIL LEIGH MATTHEWS PA-C
Physician Assistant
12 MEDICAL DR NE
CARTERSVILLE, GA 30121
Bartow County (770) 386-1000
C. THOMAS BEVILL III MD, PC
Family Medicine
12 MEDICAL DR NE
CARTERSVILLE, GA 30121
Bartow County (770) 386-1000
WELLSTAR MEDICAL GROUP, LLC
Family Medicine
12 MEDICAL DR NE
CARTERSVILLE, GA 30121
Bartow County (770) 386-1000
DR. CARL THOMAS BEVILL III MD
Family Medicine
12 MEDICAL DR NE
CARTERSVILLE, GA 30121
Bartow County (770) 386-1000
DR. JAMES MICHAEL WILLIAMS MD
Family Medicine
12 MEDICAL DR NE
CARTERSVILLE, GA 30121
Bartow County (770) 386-1000
DR. NANDITHA LAKSHMI JAYAKUMAR MD
Internal Medicine
12 MEDICAL DR NE
CARTERSVILLE, GA 30121
Bartow County (770) 386-1000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carisalyn Cousin's NPI number?

The NPI number for Carisalyn Cousin is 1124085972. It was assigned to this individual provider in the NPPES registry on April 26, 2006.

Where is Carisalyn Cousin located?

Carisalyn Cousin practices at 12 Medical Dr NE, Cartersville, GA 30121. The listed phone number is (770) 386-1000.

What is Carisalyn Cousin's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Carisalyn Cousin enrolled in Medicare?

Yes. Carisalyn Cousin is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Carisalyn Cousin was last updated on December 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.