Healthcare Provider Details

I. General information

NPI: 1487588927
Provider Name (Legal Business Name): DCC, MD, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/10/2026
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1520 HIGHLAND COLONY PKWY
MADISON MS
39110-7723
US

IV. Provider business mailing address

PO BOX 320075
FLOWOOD MS
39232-0075
US

V. Phone/Fax

Practice location:
  • Phone: 769-289-6100
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number
License Number State

VIII. Authorized Official

Name: DAVID COLLIPP
Title or Position: OWNER
Credential: MD
Phone: 601-331-7797