Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

TANNER DOUGLAS CABBAGE DO
NPI 1407476518
Pediatrics - Neonatal-Perinatal Medicine in Charlotte, NC

Q: What is the provider's specialty?

The provider's specialty is Pediatrics with taxonomy code 2080N0001X and a focus in Neonatal-Perinatal Medicine.

Active since April 18, 2020PECOS Enrolled

200 HAWTHORNE LN, CHARLOTTE, NC 28204(704) 384-4000 Get Directions Write a Review

NPPES record last updated: June 30, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 19, 2023, Apr 18, 2020 (2 updates tracked since 2020).

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About Tanner Douglas Cabbage Do NPPES

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

TANNER DOUGLAS CABBAGE DO (NPI 1407476518) is an individual neonatal-perinatal medicine provider in Charlotte, North Carolina, licensed in North Carolina (202603368) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1407476518

Entity TypeIndividualMale

Primary Taxonomy2080N0001X

Provider Legal NameTANNER DOUGLAS CABBAGECredential: DO

Location Address200 HAWTHORNE LNCharlotte, NC 28204-2515

Mailing Address200 Hawthorne LnCharlotte, NC 28204-2515

Phone(704) 384-4000

Sole ProprietorNo

Enumeration DateApril 18, 2020

Last NPPES UpdateJune 30, 20262 updates tracked since enumeration

NPPES CertifiedJune 30, 2026

✔ NPI 1407476518 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080N0001X

License✔ Licensed in NC · 202603368

Definition

A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.

200 HAWTHORNE LN, Charlotte, NC 28204

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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 Douglas Cabbage Do 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.