GEORGIA MARIA KOUSOULIS (PA-C) – Physician Assistant, NPI 1376784918

GEORGIA MARIA KOUSOULIS (PA-C) is a healthcare provider. based in Lewes, Delaware. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. C5-0000659 (DE). The NPI Number for GEORGIA MARIA KOUSOULIS (PA-C) is 1376784918

Main info

Female
18 Years Of Experience
Accepts Medicare Assignment
Name
GEORGIA MARIA KOUSOULIS (PA-C)
NPI
1376784918
Phone
(302) 644-8880
Address
34434 King Street Row Ste 2
Enumeration Date
11 March 2009
Last Update Date
18 June 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2008 (18 years ago)
PAC ID
6103976063
Group Practice PAC ID
7113340845
Professional Enrollment ID
I20171003004135
Address ID
MD218015422SA100XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:17State licenses:2Digital endpointsOther names

757 PHYSICIAN ASSISTANT in DE

Provider Addresses for GEORGIA MARIA KOUSOULIS (PA-C)

  • 34434 King Street Row Ste 2

    Lewes, DE 199584787

    Phone: (302) 644-8880

    Fax: (302) 644-8882

    Type: Location

  • Peninsula Regional Medical Center, 100, East Carroll Street, Salisbury, Wicomico County, Maryland, 21801, United States

    SALISBURY, MD 218015422

    Phone: (410) 546-6400

    Fax: (410) 630-7685

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $125.

Total Amount is formed as General ($125) + Research ($0) + Ownership ($0) = $125.

Last reported payment date: 2024-12-09 • Largest payer in this snapshot: MITSUBISHI TANABE PHARMA AMERICA, INC. ($57).

Total Amount

$125

General + Research + Ownership

Payments

6

Total payment records

General Amount

$125

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-09

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2017-10-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20171003004135IPhysician AssistantMDTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes225174$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes167161$0
99214Established patient office or other outpatient visit, 30-39 minutes7267$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes6556$0
99213Established patient office or other outpatient visit, 20-29 minutes2423$0
View full utilization report →

Insurance plans in this area (ZIP 19958)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7113340845View full group profile
NameSpecialtyState
Internal MedicineNJ
Physician AssistantMD
-VA
Internal MedicineNY
Physician AssistantNY
Internal MedicineMD
-MD
Physician AssistantMD
Physician AssistantNY
Internal Medicine, Geriatric MedicineNY

Reviews

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Frequently asked questions

How do payers reference GEORGIA MARIA KOUSOULIS (PA-C)?
For GEORGIA MARIA KOUSOULIS (PA-C), use NPI 1376784918 as the unique 10-digit identifier.
Would GEORGIA MARIA KOUSOULIS (PA-C) appear as active to a payer?
You can treat GEORGIA MARIA KOUSOULIS (PA-C) as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to GEORGIA MARIA KOUSOULIS (PA-C)?
GEORGIA MARIA KOUSOULIS (PA-C)'s specialty line reads Physician Assistant. Clinical services aligned with this taxonomy classification.
What practice footprint exists for GEORGIA MARIA KOUSOULIS (PA-C)?
Travel planning: use Lewes, Delaware as the reference point for GEORGIA MARIA KOUSOULIS (PA-C), then confirm.
Can I trust this NPI listing for GEORGIA MARIA KOUSOULIS (PA-C)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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