UPA PLLC CHILD DEV CLINIC
NPI 1841343605
Pediatrics - Developmental - Behavioral Pediatrics in Jackson, MS

Q: What is Upa PLLC Child Dev Clinic's NPI number?

The NPI number for Upa PLLC Child Dev Clinic is 1841343605. It was assigned to this organization in the NPPES registry on January 18, 2007.

Q: What is Upa PLLC Child Dev Clinic's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Developmental - Behavioral Pediatrics, with taxonomy code 2080P0006X.

Active since January 18, 2007

2500 N STATE ST, JACKSON, MS 39216(601) 984-5274 Get Directions Write a Review

NPPES record last updated: June 24, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Upa Pllc Child Dev Clinic NPPES

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

UPA PLLC CHILD DEV CLINIC (NPI 1841343605) is a healthcare organization registered as a developmental - behavioral 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

NPI1841343605

Entity TypeOrganization

Primary Taxonomy2080P0006X

Legal Business NameUPA PLLC CHILD DEV CLINIC

Location Address2500 N STATE STJackson, MS 39216-4500

Mailing Address2500 N State StJackson, MS 39216-4500 · (601) 984-5274

Phone(601) 984-5274

Organization SubpartNo

Authorized OfficialOwen B EvansManager · (601) 984-5214

Enumeration DateJanuary 18, 2007

Last NPPES UpdateJune 24, 2008

✔ NPI 1841343605 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Developmental - Behavioral PediatricsAllopathic & Osteopathic Physicians

Taxonomy Code2080P0006X

Definition

A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development.

2500 N STATE ST, Jackson, MS 39216

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Other Identifiers 2

Medicaid09014110MS

Medicare ID-Type UnspecifiedC02166MS · Medicare

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)