Upa PLLC Adolescent Med
NPI 1205953809 · Pediatric Adolescent Medicine Physician · Jackson, MS
Upa PLLC Adolescent Med is a Pediatric Adolescent Medicine Physician organization in Jackson, MS (NPI 1205953809).
Provider details
- NPI number
- 1205953809
- Entity type
- Organization
- Primary specialty
- Pediatric Adolescent Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Owen Evans, Managing Employee(601) 984-5214
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-03-26
- Last updated
- 2008-06-24
Frequently asked questions
- What is Upa PLLC Adolescent Med's NPI number?
- Upa PLLC Adolescent Med's National Provider Identifier (NPI) is 1205953809, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Upa PLLC Adolescent Med?
- Upa PLLC Adolescent Med is classified in the NPPES registry as Pediatric Adolescent Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Upa PLLC Adolescent Med located?
- Upa PLLC Adolescent Med's practice location on file with NPPES is 2500 N State St, Jackson, MS 39216-4500.
- What is Upa PLLC Adolescent Med's phone number?
- The practice phone number listed in the NPPES registry for Upa PLLC Adolescent Med is (601) 984-5236.
- Who is the authorized official for Upa PLLC Adolescent Med?
- The authorized official listed on Upa PLLC Adolescent Med's NPPES record is Owen Evans, Managing Employee. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Upa PLLC Adolescent Med's NPI active?
- Yes — Upa PLLC Adolescent Med's NPI (1205953809) is active in the NPPES registry as of the last update on 2008-06-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.