Upshur Clinic, PLLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

UPSHUR CLINIC, PLLC

Practice address

111 Highway 82 E Ste B
Leland, MS 38756-3421

Phone

(662) 820-0079

Fax

(662) 200-5896

NPI assigned

Jul 5, 2024

Last updated

Mar 21, 2026By 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

Melinda UpshurNPI 1518349950

Title

Owner

Phone

(662) 820-0079

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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.

• Melinda Balducci Upshur, FNP-BC

  • Family Nurse Practitioner
  • Leland, MS
  • NPI 1518349950
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1720137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774051200000",
    "number": "1962248237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 N BROAD ST",
            "city": "LELAND",
            "state": "MS",
            "postal_code": "387562741",
            "telephone_number": "662-820-0079",
            "fax_number": "662-200-5896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 HIGHWAY 82 E STE B",
            "city": "LELAND",
            "state": "MS",
            "postal_code": "387563421",
            "telephone_number": "662-820-0079",
            "fax_number": "662-200-5896"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "104 N Broad St",
            "address_purpose": "LOCATION",
            "city": "Leland",
            "state": "MS",
            "postal_code": "387562741",
            "country_code": "US",
            "telephone_number": "662-820-0079",
            "fax_number": "662-200-5896",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "UPSHUR CLINIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-05",
        "last_updated": "2026-03-21",
        "certification_date": "2026-03-21",
        "status": "A",
        "authorized_official_last_name": "UPSHUR",
        "authorized_official_first_name": "MELINDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "662-820-0079"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "melindaupshur@org245.direct.charmhealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "104 N Broad St",
            "city": "Leland",
            "state": "MS",
            "country_code": "US",
            "postal_code": "387562741",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Laura Selby, DPT
• Robdreka Shaw, LPC
• Leerin D Simpson Triplett, SLP
• Gail M Sims
• Amanda Leigh Suell, OT
• Melinda Balducci Upshur, FNP-BC
• Felicia R Walker, SLP
• Jessica Walker
• Michael Earl Walker
• Sereka V Walker, FNP-BC

• Family Nurse Practitioner in Leland, MS
• Providers in Leland, MS by specialty
• Family Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.