TARA HARRISON AYCOCK DNP
NPI 1447008222
Nurse Practitioner - Family in Little River, SC

Q: What is Tara Aycock's NPI number?

The NPI number for Tara Aycock is 1447008222. It was assigned to this individual provider in the NPPES registry on May 8, 2024.

Q: What is Tara Aycock's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Tara Aycock was last updated on May 8, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 08, 2024PECOS EnrolledAccepts Medicare Assignment

4303 LIVE OAK DR, LITTLE RIVER, SC 29566(843) 663-8000(843) 663-8166 Get Directions Write a Review

NPPES record last updated: May 8, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Tara Harrison Aycock Dnp NPPES

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

TARA HARRISON AYCOCK DNP (NPI 1447008222) is an individual family provider in Little River, South Carolina, licensed in South Carolina (28560) and active in the NPI registry since May 2024. She is enrolled in Medicare PECOS and is a graduate of Baylor College Of Medicine (2023).

NPPES Registry Identity

NPI1447008222

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameTARA HARRISON AYCOCKCredential: DNP

Location Address4303 LIVE OAK DRLittle River, SC 29566-9138

Mailing AddressPo Box 547Little River, SC 29566-0547 · (843) 663-8294

Phone(843) 663-8000

Fax(843) 663-8166

Sole ProprietorNo

Medical School CMSBaylor College Of MedicineGraduated 2023

Enumeration DateMay 8, 2024

NPPES CertifiedMay 8, 2024

✔ NPI 1447008222 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in SC · 28560

4303 LIVE OAK DR, Little River, SC 29566

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of South Carolina.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Tara Harrison Aycock Dnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7517496482

PECOS Enrollment IDI20250122000256

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29566 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$83.18 typical visit price

range $53.57 – $163.84

Typical copayment $20.79 (range $13.39 – $40.96)

Most-billed visit code 99203

Established Patient

$95.12 typical visit price

range $16.96 – $133.52

Typical copayment $23.78 (range $4.24 – $33.38)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

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