University Preventive Medicine

Primary specialty

Critical Access HospitalTaxonomy code 282NC0060X

Legal business name

UNIVERSITY PREVENTIVE MEDICINE

Practice address

2500 N State St
Jackson, MS 39216-4500

Phone

(601) 984-1925

Fax

(601) 984-1916

NPI assigned

Apr 27, 2007

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Miss Sara Lynn Stubbs

Title

Supervisor Billing Collections

Phone

(601) 984-1925

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Owen B Evans, M.D.

  • Pediatrics Physician
  • Jackson, MS
  • NPI 1649379694
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1154541415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 NORTH STATE STREET",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164505",
            "telephone_number": "601-984-1925",
            "fax_number": "601-984-1916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 N STATE ST",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164500",
            "telephone_number": "601-984-1925",
            "fax_number": "601-984-1916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY PREVENTIVE MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-27",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "STUBBS",
        "authorized_official_first_name": "SARA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "SUPERVISOR BILLING COLLECTIONS",
        "authorized_official_telephone_number": "601-984-1925",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "MS",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09014153",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• University Physicians
• University Physicians PLLC
• University Physicians, PLLC
• University Physicians, PLLC
• University Physicians, PLLC
• University Psychiatric Associates, LLP
• University Radiation Oncology Consultants, PLLC
• University Radiology Associates, PLLC
• University Surgery Associates, PLLC
• Upa PLLC Adolescent Med

• Critical Access Hospital in Jackson, MS
• Providers in Jackson, MS by specialty
• Critical Access Hospital in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.