UPA PLLC GASTROENTEROLOGY
NPI 1093868853
Pediatrics - Pediatric Gastroenterology in Jackson, MS

Active since January 18, 2007
2500 N STATE ST, JACKSON, MS 39216(601) 815-8991 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Upa Pllc Gastroenterology NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

UPA PLLC GASTROENTEROLOGY (NPI 1093868853) is a healthcare organization registered as a pediatric gastroenterology in Jackson, Mississippi and active in the NPI registry since January 2007. The organization lists Owen B Evans, Manager, as its authorized official.

NPPES Registry Identity

NPI1093868853
Entity TypeOrganization
Primary Taxonomy2080P0206X
Legal Business NameUPA PLLC GASTROENTEROLOGY
Location Address2500 N STATE STJackson, MS 39216-4500
Mailing Address2500 N State StJackson, MS 39216-4500 · (601) 815-8991
Organization SubpartNo
Authorized OfficialOwen B EvansManager · (601) 984-5214
Enumeration DateJanuary 18, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1093868853 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatrics · Pediatric GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0206X
Definition

A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.

2500 N STATE ST, Jackson, MS 39216

Other Identifiers 1

Medicaid09014118MS

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
2500 N STATE ST
JACKSON, MS 39216
Anesthesiology
2500 N STATE ST
JACKSON, MS 39216
Anesthesiology
2500 N STATE ST
JACKSON, MS 39216
Obstetrics & Gynecology
2500 N STATE ST
JACKSON, MS 39216
Emergency Medicine
2500 N STATE ST
JACKSON, MS 39216
Dentist
2500 N STATE ST
JACKSON, MS 39216
Anesthesiology
2500 N STATE ST
JACKSON, MS 39216
Nurse Anesthetist, Certified Registered
2500 N STATE ST
JACKSON, MS 39216

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Upa PLLC Gastroenterology's NPI number?

The NPI number for Upa PLLC Gastroenterology is 1093868853. It was assigned to this organization in the NPPES registry on January 18, 2007.

Where is Upa PLLC Gastroenterology located?

Upa PLLC Gastroenterology is located at 2500 N State St, Jackson, MS 39216. The listed phone number is (601) 815-8991.

What is Upa PLLC Gastroenterology's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Gastroenterology, with taxonomy code 2080P0206X.

When was this NPI record last updated?

The NPPES record for Upa PLLC Gastroenterology was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.