Active NPI
Thomas Logan Powell, MD
- Internal Medicine Physician
- Brandon, MS
National Provider Identifier
1003679648
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- T-5779
- Practice address
- 413 Emerald TRL
Brandon, MS 39047-6513 - Phone
- (601) 934-4578
- NPI assigned
- Feb 5, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | T-5779 | MS | Primary |
Addresses
Primary practice location
413 Emerald TRL
Brandon, MS 39047-6513
Mailing address
2945 Layfair Dr Apt 321
Flowood, MS 39232-9758
Phone (601) 934-4578
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250911004200 | MS | Order and Referring Only - Internal Medicine | 3072016419 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1707091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751414400000",
"number": "1003679648",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2945 LAYFAIR DR APT 321",
"city": "FLOWOOD",
"state": "MS",
"postal_code": "392329758",
"telephone_number": "601-934-4578"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "413 EMERALD TRL",
"city": "BRANDON",
"state": "MS",
"postal_code": "390476513",
"telephone_number": "601-934-4578"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POWELL",
"first_name": "THOMAS",
"middle_name": "LOGAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-02-05",
"last_updated": "2025-07-02",
"certification_date": "2025-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MS",
"license": "T-5779",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brandon, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2025; 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.