UPA PLLC JACKSON MED MALL
NPI 1386797991
Pediatrics in Jackson, MS

Q: What is Upa PLLC Jackson Med Mall's NPI number?

The NPI number for Upa PLLC Jackson Med Mall is 1386797991. It was assigned to this organization in the NPPES registry on January 18, 2007.

Q: What is Upa PLLC Jackson Med Mall's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Active since January 18, 2007

2500 N STATE ST, JACKSON, MS 39216(601) 984-2198 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 Jackson Med Mall NPPES

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

UPA PLLC JACKSON MED MALL (NPI 1386797991) is a healthcare organization registered as a pediatrics 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

NPI1386797991

Entity TypeOrganization

Primary Taxonomy208000000X

Legal Business NameUPA PLLC JACKSON MED MALL

Location Address2500 N STATE STJackson, MS 39216-4500

Mailing Address2500 N State StJackson, MS 39216-4500 · (601) 984-2198

Phone(601) 984-2198

Organization SubpartNo

Authorized OfficialOwen B EvansManager · (601) 984-5214

Enumeration DateJanuary 18, 2007

Last NPPES UpdateAugust 22, 2020

✔ NPI 1386797991 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

2500 N STATE ST, Jackson, MS 39216

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Other Identifiers 1

Medicaid09014542MS

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)