UPA PLLC CRITICAL CARE
NPI 1376696138
Pediatrics - Pediatric Critical Care Medicine in Jackson, MS

Q: What is Upa PLLC Critical Care's NPI number?

The NPI number for Upa PLLC Critical Care is 1376696138. It was assigned to this organization in the NPPES registry on January 18, 2007.

Q: What is Upa PLLC Critical Care's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Active since January 18, 2007

2500 N STATE ST, JACKSON, MS 39216(601) 815-6960 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Upa Pllc Critical Care NPPES

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

UPA PLLC CRITICAL CARE (NPI 1376696138) is a healthcare organization registered as a pediatric critical care medicine 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

NPI1376696138

Entity TypeOrganization

Primary Taxonomy2080P0203X

Legal Business NameUPA PLLC CRITICAL CARE

Location Address2500 N STATE STJackson, MS 39216-4500

Mailing Address2500 N State StJackson, MS 39216-4500 · (601) 815-6960

Phone(601) 815-6960

Organization SubpartNo

Authorized OfficialOwen B EvansManager · (601) 984-5214

Enumeration DateJanuary 18, 2007

Last NPPES UpdateAugust 22, 2020

✔ NPI 1376696138 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080P0203X

Definition

A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.

2500 N STATE ST, Jackson, MS 39216

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Other Identifiers 1

Medicaid09014111MS

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)