Individual provider Active NPI

Colleen Powers, MD

  • Dermatology Physician
  • Jackson, MS
National Provider Identifier
1306475876
Registry record updated Jun 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
33276 Issued in MS
Practice address
1659 Lelia Dr
Jackson, MS 39216-4818
Phone
(601) 910-3004
Fax
(601) 910-3005
NPI assigned
Apr 6, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X T-4118 MS
Dermatology Physician 207N00000X 33276 MS Primary

Addresses

Primary practice location

1659 Lelia Dr
Jackson, MS 39216-4818

Mailing address

815 Highway 80 E
Clinton, MS 39056-5252
Phone (601) 910-3004

Other practice location 1

106 Strange Rd
Starkville, MS 39759-2540
Phone (601) 910-3004

Other names 1

  • Colleen Drapcho Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240605002144 MS Practitioner - Dermatology 0749722718 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Magnolia Dermatology, PLLCGroup PAC ID 0749576031, 11 clinicians

Practice addresses (Care Compare)

1659 Lelia Dr
Jackson, MS 39216-4818
Phone 6019103004220

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision75
Removal of skin lesions610
Removal or shaving of skin growth1-10
Skin biopsy249

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
T-4118MSMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Magnolia Dermatology, PLLC Dermatology CurrentSince Jul 1, 2024 Accepting new patients
Optical 2000 Past Accepting new patients

Locations

815 Highway 80 E
Clinton, MS 39056
Phone (601) 910-3004

1659 Lelia Dr
Jackson, MS 39216
Phone (601) 910-3004

Interoperability endpoints

  • Direct secure messaging: cdrapcho155852@ummc.direct-ci.com

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1586131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780963200000",
    "number": "1306475876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 HIGHWAY 80 E",
            "city": "CLINTON",
            "state": "MS",
            "postal_code": "390565252",
            "telephone_number": "601-910-3004",
            "fax_number": "601-910-3005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1659 LELIA DR",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164818",
            "telephone_number": "601-910-3004",
            "fax_number": "601-910-3005"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "106 Strange Rd",
            "address_purpose": "LOCATION",
            "city": "Starkville",
            "state": "MS",
            "postal_code": "397592540",
            "country_code": "US",
            "telephone_number": "601-910-3004",
            "fax_number": "601-910-3005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POWERS",
        "first_name": "COLLEEN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-06",
        "last_updated": "2026-06-09",
        "certification_date": "2026-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MS",
            "license": "T-4118",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MS",
            "license": "33276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COLLEEN",
            "last_name": "DRAPCHO",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Jackson, MS

Sources for this page

Verify at the official NPI Registry.