Mark T. Peters, M.D.

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

21581 Issued in TN

Practice address

4230 Harding Pike
Suite 400
Nashville, TN 37205-2013

Phone

(615) 297-2700

Fax

(615) 386-2399

NPI assigned

Jun 12, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 12

Medicare fee-for-service enrollment

Enrolled in TN, KY2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Pulmonary DiseaseAlso: Internal Medicine

Education

Ohio State University College of Medicine, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Advanced Diagnostic Imaging PCGroup PAC ID 7315848140, 523 clinicians

Graves Gilbert Clinic PLLCGroup PAC ID 4082511167, 207 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• West Tennessee Healthcare Henry County Hospital Hospital, Paris, TN, CCN 440132
• Ascension Saint Thomas Hospital Hospital, Nashville, TN, CCN 440082
• Saint Thomas River Park Hospital Hospital, McMinnville, TN, CCN 440151
• Select Specialty Hospital-Nashville Long-term care hospital, Nashville, TN, CCN 442011

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mark.peters@stmg.eclinicaldirectplus.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Advanced Diagnostic Imaging, PC

  dba AdvancedHealth

  • Internal Medicine Physician
  • Goodlettsville, TN
  • NPI 1093741464
  Medicare reassignment Care Compare group NPD
• Graves Gilbert Clinic PLLC

  dba Graves Gilbert Clinic

  • Specialist
  • Bowling Green, KY
  • NPI 1114948288
  Medicare reassignment Care Compare group NPD
• Advanced Diagnostic Imaging PC

  dba Ankle and Foot Centers of Nashville

  • Durable Medical Equipment & Medical Supplies
  • Lewisburg, TN
  • NPI 1922846559
  NPD
• Graves Gilbert Clinic PLLC

  dba GGC Rural Health Clinic Cave City

  • Rural Health Clinic/Center
  • Cave City, KY
  • NPI 1104635663
  NPD
• Select Specialty Hospital - Nashville LLC

  • Long Term Care Hospital
  • Nashville, TN
  • NPI 1215937982
  NPD (past)
• Vanderbilt University Medical Center

  dba Vanderbilt Medical Group

  • Internal Medicine Physician
  • Nashville, TN
  • NPI 1104202761
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Saint Thomas River Park Hospital, LLC

  dba Ascension Saint Thomas River Park

  • General Acute Care Hospital
  • McMinnville, TN
  • NPI 1518346469
  Care Compare affiliation
• Saint Thomas River Park Hospital, LLC

  dba Ascension Saint Thomas River Park

  • Ambulatory Surgical Clinic/Center
  • McMinnville, TN
  • NPI 1558742304

  Hospital

  Care Compare affiliation
• Saint Thomas West Hospital

  dba Ascension Saint Thomas Hospital

  • General Acute Care Hospital
  • Nashville, TN
  • NPI 1629025648
  Care Compare affiliation
• Select Specialty Hospital - Nashville LLC

  • Long Term Care Hospital
  • Nashville, TN
  • NPI 1215937982

  Long-term care hospital

  Care Compare affiliation
• West Tennessee Healthcare Henry County

  dba West Tennessee Healthcare County Hospital

  • General Acute Care Hospital
  • Paris, TN
  • NPI 1497750244
  Care Compare affiliation

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430956800000",
    "number": "1386686137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 WOODMONT BLVD",
            "address_2": "SUITE 400",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372052245",
            "telephone_number": "615-386-2300",
            "fax_number": "615-386-2399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4230 HARDING PIKE",
            "address_2": "SUITE 400",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372052013",
            "telephone_number": "615-297-2700",
            "fax_number": "615-386-2399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERS",
        "first_name": "MARK",
        "middle_name": "T.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2015-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "TN",
            "license": "21581",
            "primary": true
        },
        {
            "code": "2080P0214X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Pulmonology",
            "state": "TN",
            "license": "021581",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "TN",
            "license": "021581",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "021581",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "164099509",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "2092886",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF TN",
            "identifier": "4018883",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICHOICE-TENNCARE ONLY",
            "identifier": "TN0190",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP-TNCARE AND MCR ADVANTAGE",
            "identifier": "10077103",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5557149",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1508914",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "USA PPO-GEHA",
            "identifier": "1100342185",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MULTIPLAN/PHCS",
            "identifier": "12255039",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "USA-MCO",
            "identifier": "849925",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "290013797",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64920762",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Peters Group
• Amber Peters, ED.S.
• Christine Scott Peters, MD
• Danielle E. Peters, LPC-MHSP (TEMP)
• Jeffery Dylan Peters
• Mary Frances Peters, CRNA
• Sarika U. Peters, PHD
• Shandi Peters, LPC/MHSP
• Sheila Peters, PHD
• Mikayla Patricia Petersen, PT, DPT

• Pulmonary Disease Physician in Nashville, TN
• Providers in Nashville, TN by specialty
• Pulmonary Disease Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.