HAL TANNER
NPI 1013759547
Student in an Organized Health Care Education/Training Program in Greenwood, SC

Active since June 06, 2024PECOS Enrolled
155 ACADEMY AVE, GREENWOOD, SC 29646(864) 725-4865 Get Directions Write a Review

NPPES record last updated: May 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 13, 2026, Jun 6, 2024 (2 updates tracked since 2024).

About Hal Tanner NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HAL TANNER (NPI 1013759547) is an individual student in an organized health care education/training program in Greenwood, South Carolina, licensed in South Carolina (LL92495) and active in the NPI registry since June 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013759547
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameHAL TANNER
Location Address155 ACADEMY AVEGreenwood, SC 29646-3869
Mailing Address155 Academy AveGreenwood, SC 29646-3869 · (864) 725-4865
Sole ProprietorNo
Enumeration DateJune 6, 2024
Last NPPES UpdateMay 13, 20262 updates tracked since enumeration
NPPES CertifiedMay 13, 2026
NPI 1013759547 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
License Licensed in SC · LL92495
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
155 ACADEMY AVE, Greenwood, SC 29646

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Hal Tanner is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
155 ACADEMY AVE
GREENWOOD, SC 29646
Family Medicine
155 ACADEMY AVE
GREENWOOD, SC 29646
Family Medicine
155 ACADEMY AVE
GREENWOOD, SC 29646
Family Medicine
155 ACADEMY AVE
GREENWOOD, SC 29646
Family Medicine
155 ACADEMY AVE
GREENWOOD, SC 29646
Family Medicine
155 ACADEMY AVE
GREENWOOD, SC 29646
Family Medicine
155 ACADEMY AVE
GREENWOOD, SC 29646
Family Medicine
155 ACADEMY AVE
GREENWOOD, SC 29646

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Hal Tanner's NPI number?

The NPI number for Hal Tanner is 1013759547. It was assigned to this individual provider in the NPPES registry on June 6, 2024.

Where is Hal Tanner located?

Hal Tanner practices at 155 Academy Ave, Greenwood, SC 29646. The listed phone number is (864) 725-4865.

What is Hal Tanner's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Hal Tanner enrolled in Medicare?

Yes. Hal Tanner is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Hal Tanner was last updated on May 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.