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

Q: 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.

Q: What is Upa PLLC Gastroenterology's specialty?

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

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: August 16, 2026.

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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

Phone(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

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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.

LAMAR DAVIS II M.D.

Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)