Active NPI
Marquis Peacock, MD
- Psychiatry Physician
- Charlotte, NC
National Provider Identifier
1992202923
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 2022-00119
- Practice address
- 429 Billingsley Rd
Charlotte, NC 28211-1007 - Phone
- (980) 217-5089
- NPI assigned
- Apr 6, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 2022-00119 | NC | Primary |
Addresses
Primary practice location
429 Billingsley Rd
Charlotte, NC 28211-1007
Mailing address
1235 East Blvd
Suite E #4253
Charlotte, NC 28203
Phone (469) 406-4198
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anuvia Prevention & Recovery, Center, Inc. | Current | Accepting new patients | |
| Monarch | Current | Accepting new patients | |
| Monarch | Current | Accepting new patients | |
| Monarch | Current | Accepting new patients |
Locations
350 Pee Dee Ave
Ste 101
Albemarle, NC 28001
Phone (704) 986-1522
429 Billingsley Rd
Charlotte, NC 28211
Phone (704) 336-2023
100 Billingsley Rd
Charlotte, NC 28211
Phone (704) 376-7447
820 Grimes Blvd
Lexington, NC 27292
Phone (336) 224-6071
Interoperability endpoints
- mpeacock81187@direct.phhs.org
Organizations & group practices 4
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.
-
- Community/Behavioral Health Agency
- Charlotte, NC
- NPI 1093756819
-
- Community/Behavioral Health Agency
- Wilmington, NC
- NPI 1073267126
-
- Community/Behavioral Health Agency
- Albemarle, NC
- NPI 1801116405
-
- Community/Behavioral Health Agency
- Albemarle, NC
- NPI 1972644334
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774828800000",
"number": "1992202923",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1235 EAST BLVD",
"address_2": "SUITE E #4253",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "28203",
"telephone_number": "469-406-4198"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "429 BILLINGSLEY RD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282111007",
"telephone_number": "980-217-5089"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEACOCK",
"first_name": "MARQUIS",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-04-06",
"last_updated": "2026-03-30",
"certification_date": "2026-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NC",
"license": "2022-00119",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.