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

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: July 26, 2026.

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
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

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.

Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
2500 N STATE ST
JACKSON, MS 39216
Anesthesiology
2500 N STATE ST
JACKSON, MS 39216
Anesthesiology
2500 N STATE ST
JACKSON, MS 39216
Obstetrics & Gynecology
2500 N STATE ST
JACKSON, MS 39216
Emergency Medicine
2500 N STATE ST
JACKSON, MS 39216
Dentist
2500 N STATE ST
JACKSON, MS 39216
Anesthesiology
2500 N STATE ST
JACKSON, MS 39216
Nurse Anesthetist, Certified Registered
2500 N STATE ST
JACKSON, MS 39216

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

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.

Where is Upa PLLC Nephrology located?

Upa PLLC Nephrology is located at 2500 N State St, Jackson, MS 39216. The listed phone number is (601) 815-8985.

What is Upa PLLC Nephrology's specialty?

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

When was this NPI record last updated?

The NPPES record for Upa PLLC Nephrology was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.