MARK D PEACOCK (NPI# 1427052224) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427052224 |
| Entity Type | Individual |
| Full Name | MARK D PEACOCK |
| Credential | MD |
| Practice Address |
300 20th Ave N Suite G-4 Nashville TN 37203-2131 |
| Mailing Address |
3024 Business Park Cir Goodlettsville TN 37072-3132 |
| Practice Telephone | 6152845098 |
| Practice Fax Number | 6152845385 |
| Mailing Telephone | 6158516033 |
| Mailing Fax Number | 6158512018 |
| Enumeration Date | 2005-06-09 |
| Last Update Date | 2017-05-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
27326 | TN | Allopathic & Osteopathic Physicians |
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
27326 | TN | Allopathic & Osteopathic Physicians |
| N | 207RS0012X |
Internal Medicine Specialization: Sleep Medicine |
27326 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | Q005117 | 05 | |
| TN | BCBS | 6017985 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245340322 | Mark Allen Peacock | Family Medicine | 3841 Feather Oaks Dr. E., Jacksonville, FL 32277-2293 | 2006-08-30 |
| 1699734848 | Mark D Peacock | Obstetrics & Gynecology | 15940 Northcross Dr, Suite C, Huntersville, NC 28078-5062 | 2006-03-17 |
| 1558864785 | Mark Peacock | Psychologist | 1100 N University Ave Ste 200, Little Rock, AR 72207-6360 | 2018-03-14 |
| 1275061475 | Mark Peacock | Student in an Organized Health Care Education/Training Program | 305 Langdon St, Somerset, KY 42503 | 2017-06-01 |
| 1578652616 | Mark Eugene Peacock | Dentist | 3736 Walton Way Ext, Augusta, GA 30907-2402 | 2006-10-12 |
| Street Address |
300 20TH AVE N SUITE G-4 |
| City | NASHVILLE |
| State | TN |
| Zip Code | 37203-2131 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790788800 | Joe Michael Edwards | Obstetrics & Gynecology | 300 20th Ave N, Ste G3, Nashville, TN 37203-2132 | 2005-05-23 |
| 1386161602 | Hannah Nolte | Registered Nurse | 300 20th Ave N, Nashville, TN 37203-2131 | 2017-08-28 |
| 1922533017 | Chelsie Parker | Nurse Practitioner | 300 20th Ave N, Suite 505, Nashville, TN 37203 | 2017-04-26 |
| 1235670753 | Meagan Tate | Nurse Practitioner | 300 20th Ave N, Nashville, TN 37203-2131 | 2017-03-16 |
| 1548704547 | Deanna Roberts Seng | Nurse Practitioner | 300 20th Ave N, Suite G-4, Nashville, TN 37203-2131 | 2016-12-09 |
| 1609326636 | Stephanie Gifford | Nurse Practitioner | 300 20th Ave N, Suite G4, Nashville, TN 37203-2131 | 2016-10-13 |
| 1255792230 | Renata Alexandre | Nurse Practitioner | 300 20th Ave N, Suite G8, Nashville, TN 37203-2131 | 2016-03-17 |
| 1811372717 | Susan Roark Wright | Nurse Practitioner | 300 20th Ave N, Nashville, TN 37203-2131 | 2015-07-21 |
| 1124417753 | Mackenzie Temple | Physician Assistant | 300 20th Ave N, Suite 600, Nashville, TN 37203-2131 | 2015-01-20 |
| 1982009825 | Jill Weida | Nurse Practitioner | 300 20th Ave N, Nashville, TN 37203-2131 | 2014-11-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265031843 | Results-ast Jv, LLC | Physical Therapist | 1000 Church Street, Nashville, TN 37203 | 2020-10-23 |
| 1922607159 | Results-ast Jv, LLC | Physical Therapist | 222 22nd Avenue North, Suite 100, Nashville, TN 37203 | 2020-10-19 |
| 1427663152 | Amber Nicole Fox | Nurse Practitioner | 2300 Patterson Street-endo Dept, Nashville, TN 37203 | 2020-09-10 |
| 1144839648 | Tasha Yarris | Nurse Practitioner | 412 Dr D.b. Todd Jr Blvd., Nashville, TN 37203 | 2020-07-30 |
| 1013536655 | Colby Wollenman | Student in an Organized Health Care Education/Training Program | Vanderbilt Orthopaedic Institute 1215 21st Ave S, Medical Center East, South Tower, Suite 4200, Nashville, TN 37203 | 2020-04-14 |
| 1477193738 | Ames Center for Counseling LLC | Social Worker | 1900 Church Street #300, Nashville, TN 37203 | 2020-01-14 |
| 1750922498 | Lisa Michelle Gregory Beck | Nurse Practitioner | 2221 Murphy Avenue, Nashville, TN 37203 | 2019-10-03 |
| 1235634023 | Jackson Primary Care | Family Medicine | 2010 Church St Ste 526, Nashville, TN 37203 | 2018-03-26 |
| 1932614237 | Caitlin Butcher | Social Worker | 402 22nd Ave North, Nashville, TN 37203 | 2017-12-08 |
| 1780194068 | Casey Lynn O'quinn | Behavioral Analyst | 2108 Hayes St, Nashville, TN 37203 | 2017-10-02 |
| Find all providers in zip 37203 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326312091 | Theodore Feld Reiss | Internal Medicine | 1161 21st Ave South T-1218 Medical Center North, Vanderbilt University School of Medicine, Nashville, TN 37232-2650 | 2012-02-28 |
| 1174581144 | Lung Consultants Pllc | Internal Medicine | 5716 Hickory Plz, Ste 200, Nashville, TN 37211-8546 | 2006-05-01 |
| 1346244324 | Olusola Olanrewaju Oguntolu | Internal Medicine | 2900 Felicia St, Ste 102, Nashville, TN 37209-4042 | 2005-06-08 |
| 1033569140 | Karl P. Kuhn M.d. | Internal Medicine | 397 Wallace Rd, Suite 415, Nashville, TN 37211-4854 | 2016-06-20 |
| 1114365624 | Katie Ann Mcpherson | Internal Medicine | 3601 The Vanderbilt Clinic, Nashville, TN 37232-0001 | 2013-06-06 |
| 1770926552 | Jordan Elizabeth Phillips | Internal Medicine | 2000 Church St, Nashville, TN 37236 | 2013-04-11 |
| 1396003356 | Victor Herbert Kha | Internal Medicine | 397 Wallace Rd, Ste 415, Nashville, TN 37211-8028 | 2012-04-27 |
| 1558652388 | Melissa Warren | Internal Medicine | 3601 The Vanderbilt Clinic, Nashville, TN 37232-3504 | 2011-04-27 |
| 1346405495 | Robert W Mccain Md, PC | Internal Medicine | 397 Wallace Rd, Suite 415, Nashville, TN 37211-4854 | 2008-07-28 |
| 1548450513 | Mary A. Mcelaney, M.d. | Internal Medicine | 397 Wallace Rd, Suite 415, Nashville, TN 37211-4854 | 2007-07-26 |
| Find all providers in NASHVILLE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.