Upa PLLC Neurology
NPI 1609929470ActiveOrganization· Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology· Jackson, MS
Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology in Jackson, Mississippi, registered in NPPES in January 2007. The authorized official on file is Owen B. Evans, M.D., Manager.
Overview
| NPI | 1609929470 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 18, 2007 |
| Last updated in NPPES | Aug 22, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology Primary | 2084N0402X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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