UPA PLLC NEPHROLOGY
NPI 1790838563
Pediatrics - Pediatric Nephrology in Jackson, MS

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

The NPI number for Upa PLLC Nephrology is 1790838563. It was assigned to this organization in the NPPES registry on January 18, 2007.

Q: What is Upa PLLC Nephrology's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Nephrology, with taxonomy code 2080P0210X.

Active since January 18, 2007

2500 N STATE ST, JACKSON, MS 39216(601) 815-8985 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 Nephrology NPPES

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

UPA PLLC NEPHROLOGY (NPI 1790838563) is a healthcare organization registered as a pediatric nephrology 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

NPI1790838563

Entity TypeOrganization

Primary Taxonomy2080P0210X

Legal Business NameUPA PLLC NEPHROLOGY

Location Address2500 N STATE STJackson, MS 39216-4500

Mailing Address2500 N State StJackson, MS 39216-4500 · (601) 815-8985

Phone(601) 815-8985

Organization SubpartNo

Authorized OfficialOwen B EvansManager · (601) 984-5214

Enumeration DateJanuary 18, 2007

Last NPPES UpdateAugust 22, 2020

✔ NPI 1790838563 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric NephrologyAllopathic & Osteopathic Physicians

Taxonomy Code2080P0210X

Definition

A pediatrician who deals with the normal and abnormal development and maturation of the kidney and urinary tract, the mechanisms by which the kidney can be damaged, the evaluation and treatment of renal diseases, fluid and electrolyte abnormalities, hypertension and renal replacement therapy.

2500 N STATE ST, Jackson, MS 39216

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Other Identifiers 1

Medicaid09014114MS

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)