Cousin Surgical Services, L.L.C.

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

Legal business name

COUSIN SURGICAL SERVICES, L.L.C.

Practice address

2537 Cedarcrest Rd Ste 305-63
Acworth, GA 30101-8900

Phone

(762) 235-4343

NPI assigned

Nov 8, 2021

Last updated

Nov 10, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Herb Cousin, CSA

Title

VP

Phone

(762) 235-4343

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Herbert Louis Cousin Jr., CSA

  • Surgical Physician Assistant
  • Acworth, GA
  • NPI 1720337439
  NPD

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

{
    "created_epoch": "1636329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636502400000",
    "number": "1497410104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2537 CEDARCREST RD STE 305-63",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301018900",
            "telephone_number": "762-235-4343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2537 CEDARCREST RD STE 305-63",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301018900",
            "telephone_number": "762-235-4343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUSIN SURGICAL SERVICES, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-08",
        "last_updated": "2021-11-10",
        "certification_date": "2021-11-10",
        "status": "A",
        "authorized_official_last_name": "COUSIN",
        "authorized_official_first_name": "HERB",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "762-235-4343",
        "authorized_official_credential": "CSA"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda K Cooper, FNP-C
• Core Nursing Services
• Michael Phillip Cottle, PT, DPT
• Sharon Cottle
• Cedric Council
• Herbert Louis Cousin Jr., CSA
• Cowry Home Dialysis LLC
• Cowry Medical Group, LLC
• Donald L. Cox, R.PH
• Jennifer Rose Cox, LCSW

• Surgical Physician Assistant in Acworth, GA
• Providers in Acworth, GA by specialty
• Surgical Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.