Mark D. Peacock MD PC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

30568 Issued in NC

Legal business name

MARK D. PEACOCK MD PC

Practice address

16623 Birkdale CMNS Pkwy
Suite 130
Huntersville, NC 28078-5621

Phone

(704) 896-7005

Fax

(704) 896-7115

NPI assigned

Mar 3, 2008

Last updated

Apr 5, 2010By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Mark Douglas Peacock, M.D.

Title

Owner

Phone

(704) 896-7005

Specialties & licenses 1

Addresses

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/2714/brand/1/csg/1/fhir/r4

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Valerie Ann Brandt, ARNP

  • Adult Health Nurse Practitioner
  • Inverness, FL
  • NPI 1427036292
  NPD (past)
• Mark Allen Peacock, M.D.

  • Family Medicine Physician
  • Jacksonville, FL
  • NPI 1245340322
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1204502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270425600000",
    "number": "1194995423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16623 BIRKDALE CMNS PKWY",
            "address_2": "SUITE 130",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280785621",
            "telephone_number": "704-896-7005",
            "fax_number": "704-896-7115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16623 BIRKDALE CMNS PKWY",
            "address_2": "SUITE 130",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280785621",
            "telephone_number": "704-896-7005",
            "fax_number": "704-896-7115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK D. PEACOCK MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-03",
        "last_updated": "2010-04-05",
        "status": "A",
        "authorized_official_last_name": "PEACOCK",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "DOUGLAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-896-7005",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NC",
            "license": "30568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Ann Mannisto
• Ebony Lauren Manzano, LSW
• Marc E Allen Ms I PLLC (Care Source Mobile)
• Lauri Ann Mares, AGPCNP
• Melissa Marin, PSY.D.
• Emily Rebecca Markey, PA-C
• Kelly E Marmoll
• Mary M. Martin-Vavra, MS, FNP
• Chelsey Lynn Martin, DC
• Rebekah Marie Martinez

• Obstetrics & Gynecology Physician in Huntersville, NC
• Providers in Huntersville, NC by specialty
• Obstetrics & Gynecology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.