OrganizationActive
Upa PLLC Jackson Med Mall
NPI 1386797991 · Pediatrics Physician · Jackson, MS
Upa PLLC Jackson Med Mall is a Pediatrics Physician organization in Jackson, MS (NPI 1386797991).
Provider details
- NPI number
- 1386797991
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Owen Evans, Manager(601) 984-5214
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(90/100 index)
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
2500 N State St
Jackson, MS 39216-4500
Phone: (601) 984-2198
Street-level locationGet directions
Mailing address
2500 N State St
Jackson, MS 39216-4500
Registry dates
- Enumerated
- 2007-01-18
- Last updated
- 2020-08-22
Frequently asked questions
- What is Upa PLLC Jackson Med Mall's NPI number?
- Upa PLLC Jackson Med Mall's National Provider Identifier (NPI) is 1386797991, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Upa PLLC Jackson Med Mall?
- Upa PLLC Jackson Med Mall is classified in the NPPES registry as Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Upa PLLC Jackson Med Mall located?
- Upa PLLC Jackson Med Mall's practice location on file with NPPES is 2500 N State St, Jackson, MS 39216-4500.
- What is Upa PLLC Jackson Med Mall's phone number?
- The practice phone number listed in the NPPES registry for Upa PLLC Jackson Med Mall is (601) 984-2198.
- Who is the authorized official for Upa PLLC Jackson Med Mall?
- The authorized official listed on Upa PLLC Jackson Med Mall's NPPES record is Owen Evans, Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Upa PLLC Jackson Med Mall's NPI active?
- Yes — Upa PLLC Jackson Med Mall's NPI (1386797991) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.