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

Georgia Maria Kousoulis, PA-C

Individual provider Neurology Physician · NPI 1376784918

Georgia Maria Kousoulis, PA-C is a Physician Assistant in Salisbury, Maryland. Qualified in 2008, 18 years ago. Practices with Tidalhealth Specialty Care LLC, a 366-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Delaware and Maryland.

Years since qualifying
18
Licensed in
DE, MD
In the registry since
2009
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

100 E Carroll St
Salisbury, MD 21801-5422
Phone: (410) 543-7536
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 34434 King Street Row Ste 2, Lewes, DE 19958-4787 — (302) 644-8880

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence C0006463 (MD)
Neurology Physician Taxonomy 2084N0400X · Licence C5-0000659 (DE)

Record details

NPI number1376784918
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMarch 11, 2009
Last updated in NPPESJune 18, 2018

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Tidalhealth Specialty Care Llc — 366 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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