DR. JAMES FLETCHER KOON MD NPI 1093792608

NPI Information

  • NPI: 1093792608
  • Provider Name: DR. JAMES FLETCHER KOON, MD
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 206 S MATSON ST
    KERSHAW, SC
    ZIP 29067
  • Phone: (803) 475-1156

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NPI Details

DR. James Fletcher Koon, MD is a family medicine in Kershaw, SC with 37 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. James Fletcher Koon, MD NPI is 1093792608. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
Graduation Year:1989

The provider's business location address is:

206 S MATSON ST
KERSHAW, SC
ZIP 29067-506
Phone: (803) 475-1156
Fax: (803) 475-1128

The NPI 1093792608 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Injection, dexamethasone sodium phosphate, 1 mg (HCPCS:J1100)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus (HCPCS:87426)
  • Detection test by immunoassay with direct visual observation for influenza virus (HCPCS:87804)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Automated urinalysis test (HCPCS:81003)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Injection, ketorolac tromethamine, per 15 mg (HCPCS:J1885)
  • Injection of drug or substance under skin or into muscle (HCPCS:96372)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) (HCPCS:87811)
  • Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) (HCPCS:87880)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)
  • Blood glucose (sugar) test performed by hand-held instrument (HCPCS:82962)
  • Administration of vaccine (HCPCS:90471)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)

The enumeration date for this NPI number is 12/23/2005 and was last updated on 8/5/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine18339SOUTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
15532095OTHERSOUTH CAROLINAAETNA
221149333031OTHERSOUTH CAROLINABEECHSTREET
3G209687161MEDICARE ID-TYPE UNSPECIFIEDSOUTH CAROLINA
4G20968MEDICARE UPIN
5G209688862MEDICARE PINSOUTH CAROLINA
6A8973OTHERSOUTH CAROLINAMEDCOST
78862MEDICARE PINSOUTH CAROLINA
8000000229650OTHERSOUTH CAROLINAUNISON
98874326OTHERSOUTH CAROLINAPPNI
100141069OTHERSOUTH CAROLINACAROLINA CARE
11080179118OTHERSOUTH CAROLINARETIRED RR MEDICARE
1220071782OTHERSOUTH CAROLINASELECT HEALTH
1301153584OTHERSOUTH CAROLINAAMERIGROUP
14T24079MEDICAIDSOUTH CAROLINA
153091345OTHERSOUTH CAROLINACIGNA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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