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

Mrs. Carisalyn Nicole Cousin, APRNBC

Individual provider Family Nurse Practitioner · NPI 1124085972

Mrs. Carisalyn Nicole Cousin, APRNBC is a Nurse Practitioner in Cartersville, Georgia. Qualified in 1997, 29 years ago. Practices with Adventist Health System Georgia Inc, a 244-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
29
Licensed in
GA
In the registry since
2006
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

12 Medical Dr NE
Cartersville, GA 30121-8002
Phone: (770) 386-1000
Fax: (770) 386-9165
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence APRN-NP271422 (GA)

Record details

NPI number1124085972
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRNBC
Sole proprietorNo
NPI enumeratedApril 26, 2006
Last updated in NPPESDecember 9, 2025
Certification dateDecember 9, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Group practice Adventist Health System Georgia Inc — 244 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Cartersville