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UPSHUR CLINIC, PLLC
NPI 1962248237
Nurse Practitioner - Family in Leland, MS

Active since July 05, 2024
111 HIGHWAY 82 E STE B, LELAND, MS 38756(662) 820-0079(662) 200-5896 Get Directions Write a Review

NPPES record last updated: March 21, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 21, 2026, Jul 5, 2024 (2 updates tracked since 2024).

About Upshur Clinic, Pllc NPPES

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

UPSHUR CLINIC, PLLC (NPI 1962248237) is a healthcare organization registered as a family in Leland, Mississippi and active in the NPI registry since July 2024. The organization maintains a secondary practice location in Leland and lists Melinda Upshur, Owner, as its authorized official.

NPPES Registry Identity

NPI1962248237
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameUPSHUR CLINIC, PLLC
Location Address111 HIGHWAY 82 E STE BLeland, MS 38756-3421
Mailing Address104 N Broad StLeland, MS 38756-2741 · (662) 820-0079 · Fax (662) 200-5896
Phone(662) 820-0079
Fax(662) 200-5896
Organization SubpartNo
Authorized OfficialMelinda UpshurOwner · (662) 820-0079
Enumeration DateJuly 5, 2024
Last NPPES UpdateMarch 21, 20262 updates tracked since enumeration
NPPES CertifiedMarch 21, 2026
✔ NPI 1962248237 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
111 HIGHWAY 82 E STE B, Leland, MS 38756
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Secondary Practice Location 1

Location 1104 N Broad StLeland, MS 38756-2741 · Phone (662) 820-0079 · Fax (662) 200-5896

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 25D2309873

Upshur Clinic, PLLC · Leland, MS
Expired · Aug 21, 2026
CLIA Number25D2309873
Laboratory TypePractitioner Other
Certificate Effective DateAugust 22, 2024
Certificate Expiration DateAugust 21, 2026
Laboratory DirectorMelinda Upshur
Laboratory Phone(662) 820-0079
Laboratory LocationUpshur Clinic, PLLC111 Highway 82 East, Suite B, Leland, MS 38756
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MELINDA BALDUCCI UPSHUR FNP-BC
Nurse Practitioner (Family)
111 HIGHWAY 82 E STE B
LELAND, MS 38756
Washington County (662) 820-0079

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 Upshur Clinic, PLLC's NPI number?

The NPI number for Upshur Clinic, PLLC is 1962248237. It was assigned to this organization in the NPPES registry on July 5, 2024.

Where is Upshur Clinic, PLLC located?

Upshur Clinic, PLLC is located at 111 Highway 82 E Ste B, Leland, MS 38756. The listed phone number is (662) 820-0079.

What is Upshur Clinic, PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Upshur Clinic, PLLC was last updated on March 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.