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

Peter Bowman Mack, MD

Individual provider Family Medicine Physician · NPI 1922202225

Peter Bowman Mack, MD is a Family Practice in Charlotte, North Carolina. Graduated from Loyola University of Chicago, Stritch School of Medicine in 2007, 19 years ago. Practices with Novant Health Medical Group, LLC, a 2,410-clinician group, accepts Medicare assignment and offers telehealth. Licensed in North Carolina.

Years since qualifying
19
Trained at
Loyola University of Chicago, Stritch School of Medicine
Licensed in
NC
In the registry since
2007
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

6324 Fairview Rd Ste 201
Charlotte, NC 28210-3271
Phone: (704) 384-0588
Fax: (704) 384-0580
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 140928 (NC)
Family Medicine Physician Taxonomy 207Q00000X · Licence 200801862 (NC)

Record details

NPI number1922202225
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 12, 2007
Last updated in NPPESOctober 28, 2020
Certification dateOctober 28, 2020

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolLOYOLA UNIVERSITY OF CHICAGO, STRITCH SCHOOL OF MEDICINE
Graduated 2007 (19 years in practice)
Group practice Novant Health Medical Group, Llc — 2410 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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