Individual provider Active NPI

George B Cousin, MD

  • Family Medicine Physician
  • New Iberia, LA
National Provider Identifier
1275532186
Registry record updated Jul 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
016174 Issued in LA
Practice address
2309 E Main St
Ste 400
New Iberia, LA 70560-4046
Phone
(337) 367-0271
Fax
(337) 364-6139
NPI assigned
Jul 21, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 016174 LA Primary

Addresses

Primary practice location

2309 E Main St
Ste 400
New Iberia, LA 70560-4046

Mailing address

2309 E Main St
Ste 400
New Iberia, LA 70560-4046
Phone (337) 367-0271

Other identifiers 1

IdentifierTypeStateIssuer
1339814MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051109000301 LA Practitioner - Family PracticePractitioner - Sleep Medicine 6709804651 Reassigns benefits to 1 organization
Practice locations: New Iberia, LA

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Sleep Medicine
Education
Louisiana State University School of Medicine in New Orleans, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Medicine ClinicGroup PAC ID 0446476956, 3 clinicians

Practice addresses (Care Compare)

2309 E Main St
Suite 400
New Iberia, LA 70560-4046
Phone (337) 367-0271

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
016174LAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Iberia Sleep Center, LLC CurrentSince Jun 1, 2019 Accepting new patients
Family Medicine Clinic Family Medicine CurrentSince Mar 22, 2014 Accepting new patients
Belle Teche Nursing & Rehabilitation Center, LLC Past Accepting new patients

Locations

1306 W Admiral Doyle Dr
New Iberia, LA 70560
Phone (312) 529-8976

2309 E Main St
Ste 400
New Iberia, LA 70560
Phone (337) 364-0271

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19505/brand/1/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/20384/brand/1/csg/1/fhir/r4

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1121904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343001600000",
    "number": "1275532186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2309 E MAIN ST",
            "address_2": "STE 400",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "705604046",
            "telephone_number": "337-367-0271",
            "fax_number": "337-364-6139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2309 E MAIN ST",
            "address_2": "STE 400",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "705604046",
            "telephone_number": "337-367-0271",
            "fax_number": "337-364-6139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COUSIN",
        "first_name": "GEORGE",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-21",
        "last_updated": "2012-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "016174",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1339814",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Iberia, LA

Sources for this page

Verify at the official NPI Registry.