Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Mark Peacock, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1275061475

Dr. Mark Peacock, DO is a Family Practice in Farragut, Tennessee. Qualified in 2017, 9 years ago. Practices with Summit Medical Group, PLLC, a 636-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Tennessee.

Years since qualifying
9
Licensed in
TN
In the registry since
2017
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

11130 Kingston Pike Ste 7&8
Farragut, TN 37934-2865
Phone: (865) 675-1953
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 4412 (TN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1275061475
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 1, 2017
Last updated in NPPESJuly 21, 2021
Certification dateJuly 21, 2021
Mailing address1275 Dick Lonas Rd Unit 101, Knoxville, TN 37909-1383

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Summit Medical Group, Pllc — 636 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services