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DAVID TANNER
NPI 1962488841
Internal Medicine in Charlotte, NC

Active since December 21, 2005PECOS Enrolled
4539 HEDGEMORE DR, SUITE 100, CHARLOTTE, NC 28209(704) 331-9669 Get Directions Write a Review

NPPES record last updated: February 12, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 12, 2019, Jan 16, 2019, Jan 4, 2019 and 6 more (9 updates tracked since 2018).

About David Tanner NPPES

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

DAVID TANNER (NPI 1962488841) is an individual internal medicine provider in Charlotte, North Carolina, licensed in North Carolina (35529) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962488841
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDAVID TANNER
Location Address4539 HEDGEMORE DR, SUITE 100Charlotte, NC 28209-3276
Mailing Address4539 Hedgemore DrCharlotte, NC 28209-3276
Phone(704) 331-9669
Sole ProprietorNo
Enumeration DateDecember 21, 2005
Last NPPES UpdateFebruary 12, 20199 updates tracked since enumeration
✔ NPI 1962488841 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NC · 35529
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
4539 HEDGEMORE DR, Charlotte, NC 28209
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

David 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.

Medicare Billing Reassignments

2

Medicare enrollment records show David Tanner reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Carolinas Physicians Network Inc
1.9 mi
Allergy & Immunology
4525 CAMERON VALLEY PKWY, STE 2100
Charlotte, NC 28211
  • Reassigned Medicare billing, North Carolina enrollment
  • 2,057 clinicians in this Medicare group
NPI 1215573423 (704) 355-5100
Carolinas Medical Center
2.0 mi
Internal Medicine
1350 S KINGS DR
Charlotte, NC 28207
  • Reassigned Medicare billing, North Carolina enrollment
  • 2,223 clinicians in this Medicare group
NPI 1073754131 (704) 446-1242

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28209 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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 4

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

REBECCA L. LARK M.D.
Internal Medicine (Infectious Disease)
4539 HEDGEMORE DR, SUITE 100
CHARLOTTE, NC 28209
Mecklenburg County (704) 331-9669
MELODY R WILKINSON FNP
Nurse Practitioner (Family)
4539 HEDGEMORE DR, SUITE 100
CHARLOTTE, NC 28209
Mecklenburg County (704) 331-9669
THOMAS D. VERVILLE M.D.
Internal Medicine (Infectious Disease)
4539 HEDGEMORE DR, SUITE 100
CHARLOTTE, NC 28209
Mecklenburg County (704) 331-9669
ID CONSULTANTS PA
Pharmacy (Community/Retail Pharmacy)
4539 HEDGEMORE DR, STE 110
CHARLOTTE, NC 28209
Mecklenburg County (704) 523-6049

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 David Tanner's NPI number?

The NPI number for David Tanner is 1962488841. It was assigned to this individual provider in the NPPES registry on December 21, 2005.

Where is David Tanner located?

David Tanner practices at 4539 Hedgemore Dr Suite 100, Charlotte, NC 28209. The listed phone number is (704) 331-9669.

What is David Tanner's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is David Tanner enrolled in Medicare?

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

Which organizations bill Medicare for David Tanner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), David Tanner reassigns Medicare benefits to 2 organizations: Carolinas Physicians Network Inc (Charlotte, NC) and Carolinas Medical Center (Charlotte, NC). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for David Tanner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for David Tanner was last updated on February 12, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.