Active NPI
Mark H Peters, M.D.
- Plastic Surgery Physician
- Memphis, TN
National Provider Identifier
1962465153
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- 021122
- Practice address
- 6075 Poplar Ave Ste 300
Memphis, TN 38119-1400 - Phone
- (901) 465-1295
- NPI assigned
- Apr 10, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | 59671 | TN | |
| Plastic Surgery Physician | 208200000X | 021122 | LA | Primary |
Addresses
Primary practice location
6075 Poplar Ave Ste 300
Memphis, TN 38119-1400
Mailing address
6075 Poplar Ave Ste 300
Memphis, TN 38119-1400
Phone (901) 467-1295
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 021122 | LA | MD | Plastic Surgery Physician |
| 59671 | TN | MD | Plastic Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782345600000",
"number": "1962465153",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6075 POPLAR AVE STE 300",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381191400",
"telephone_number": "901-467-1295"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6075 POPLAR AVE STE 300",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381191400",
"telephone_number": "901-465-1295"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETERS",
"first_name": "MARK",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-10",
"last_updated": "2026-06-25",
"certification_date": "2026-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "TN",
"license": "59671",
"primary": false
},
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "LA",
"license": "021122",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.