MRS. CARISALYN NICOLE COUSIN APRN BC
NPI 1124085972
Nurse Practitioner - Family in Cartersville, GA
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
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
2Medicare enrollment records show Carisalyn Cousin reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Calhoun, GA 30701
- Reassigned Medicare billing, Georgia enrollment
- 384 clinicians in this Medicare group
Fayetteville, GA 30214
- Reassigned Medicare billing, Georgia enrollment
- 759 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
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.
Which organizations bill Medicare for Carisalyn Cousin's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Carisalyn Cousin reassigns Medicare benefits to 2 organizations: Adventist Health System Georgia Inc (Calhoun, GA) and Privia Medical Group Of Georgia LLC (Fayetteville, GA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Carisalyn Cousin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Carisalyn Cousin accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 1 other insurer list Carisalyn Cousin as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
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 10 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.
# Mrs. Carisalyn Nicole Cousin, APRN BC · NPI 1124085972
Family physician in Cartersville, Georgia. Individual provider, active in the CMS NPPES registry since April 26, 2006.
## Identity
- **NPI:** 1124085972 (Entity type: Individual)
- **Enumerated:** April 26, 2006
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** APRN-NP271422 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 12 MEDICAL DR NE, Cartersville, GA 30121-8002
- **Phone:** (770) 386-1000 · **Fax:** (770) 386-9165
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Adventist Health System Georgia Inc (NPI 1699791343, Calhoun, GA); Privia Medical Group Of Georgia LLC (NPI 1013313857, Fayetteville, GA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1997
## Record status
- **NPPES last updated:** December 9, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1124085972) · Data from the CMS NPPES public registry.