UPA PLLC AMBULATORY
NPI 1528185121
Pediatrics in Jackson, MS

Q: What is Upa PLLC Ambulatory's NPI number?

The NPI number for Upa PLLC Ambulatory is 1528185121. It was assigned to this organization in the NPPES registry on March 26, 2007.

Q: What is Upa PLLC Ambulatory's specialty?

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

Active since March 26, 2007

2500 N STATE ST, JACKSON, MS 39216(601) 984-2195 Get Directions Write a Review

NPPES record last updated: June 19, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Upa Pllc Ambulatory NPPES

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

UPA PLLC AMBULATORY (NPI 1528185121) is a healthcare organization registered as a pediatrics in Jackson, Mississippi and active in the NPI registry since March 2007. The organization lists Owen B Evans, Managing Employee, as its authorized official.

NPPES Registry Identity

NPI1528185121

Entity TypeOrganization

Primary Taxonomy208000000X

Legal Business NameUPA PLLC AMBULATORY

Location Address2500 N STATE STJackson, MS 39216-4500

Mailing Address2500 N State StJackson, MS 39216-4500 · (601) 984-2195

Phone(601) 984-2195

Organization SubpartNo

Authorized OfficialOwen B EvansManaging Employee · (601) 984-5214

Enumeration DateMarch 26, 2007

Last NPPES UpdateJune 19, 2008

✔ NPI 1528185121 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 2

Medicaid09014116MS

Medicare ID-Type UnspecifiedC02166MS · Ms Medicare Group Number

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)