UPA PLLC GENERAL PEDS
NPI 1871610477
Pediatrics in Jackson, MS

Active since March 26, 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 General Peds NPPES

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

UPA PLLC GENERAL PEDS (NPI 1871610477) 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

NPI1871610477
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameUPA PLLC GENERAL PEDS
Location Address2500 N STATE STJackson, MS 39216-4500
Mailing Address2500 N State StJackson, MS 39216-4500 · (601) 815-8985
Organization SubpartNo
Authorized OfficialOwen B EvansManaging Employee · (601) 984-5214
Enumeration DateMarch 26, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1871610477 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

Other Identifiers 1

Medicaid09014108MS

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 General Peds's NPI number?

The NPI number for Upa PLLC General Peds is 1871610477. It was assigned to this organization in the NPPES registry on March 26, 2007.

Where is Upa PLLC General Peds located?

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

What is Upa PLLC General Peds's specialty?

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

When was this NPI record last updated?

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