1. Home
  2. Directory
  3. South Carolina
  4. Clinton
  5. Nurse Practitioner
  6. NPI Profile

TANNER ELIJAH KOON NP
NPI 1801671862
Nurse Practitioner - Family in Clinton, SC

Active since August 29, 2023PECOS Enrolled
500 PLAZA CIR STE J, CLINTON, SC 29325(864) 681-0555(864) 408-8675 Get Directions Write a Review

NPPES record last updated: June 23, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 23, 2025, Aug 29, 2023 (2 updates tracked since 2023).

About Tanner Elijah Koon Np NPPES

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

TANNER ELIJAH KOON NP (NPI 1801671862) is an individual family provider in Clinton, South Carolina, licensed in South Carolina (27805) and active in the NPI registry since August 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1801671862
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameTANNER ELIJAH KOONCredential: NP
Location Address500 PLAZA CIR STE JClinton, SC 29325-7559
Mailing Address500 Plaza Cir Ste JClinton, SC 29325-7559 · (864) 681-0555 · Fax (864) 408-8675
Phone(864) 681-0555
Fax(864) 408-8675
Sole ProprietorNo
Enumeration DateAugust 29, 2023
Last NPPES UpdateJune 23, 20252 updates tracked since enumeration
NPPES CertifiedJune 23, 2025
✔ NPI 1801671862 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 · 27805
500 PLAZA CIR STE J, Clinton, SC 29325
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, 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 (PECOS)

Tanner Elijah Koon Np 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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
28 services28 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
26 services26 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29325 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 2

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

PROHEALTH CENTER, LLC
Chiropractor
500 PLAZA CIR STE J
CLINTON, SC 29325
Laurens County (864) 681-0555
ASHLEY JANE JENKINS M.D.
Pediatrics
500 PLAZA CIR STE J
CLINTON, SC 29325
Laurens County (864) 547-8300

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 Tanner Koon's NPI number?

The NPI number for Tanner Koon is 1801671862. It was assigned to this individual provider in the NPPES registry on August 29, 2023.

Where is Tanner Koon located?

Tanner Koon practices at 500 Plaza Cir Ste J, Clinton, SC 29325. The listed phone number is (864) 681-0555.

What is Tanner Koon's specialty?

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

Is Tanner Koon enrolled in Medicare?

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

What insurance does Tanner Koon accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina and BlueCross BlueShield of South Carolina list Tanner Koon as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tanner Koon was last updated on June 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.