Individual provider Active NPI

Charles C Upton, MD

  • Anesthesiology Physician
  • Jackson, MS
National Provider Identifier
1992870711
Registry record updated Aug 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
16292 Issued in MS
Practice address
1151 N State St
Suite 311
Jackson, MS 39202
Phone
(601) 969-1171
Fax
(601) 969-1173
NPI assigned
Nov 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 16292 MS Primary

Addresses

Primary practice location

1151 N State St
Suite 311
Jackson, MS 39202

Mailing address

1151 N State St
Suite 311
Jackson, MS 39202-2407
Phone (601) 969-1171

Other practice location 1

415 S 28th Ave
Hattiesburg, MS 39401-7246
Phone (601) 261-3606

Other identifiers 1

IdentifierTypeStateIssuer
0120942MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, AL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110124000683 MS Practitioner - Anesthesiology 0446332142 Reassigns benefits to 6 organizations
I20230905000917 AL Practitioner - Anesthesiology 0446332142 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Mississippi School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesia Consultants PAGroup PAC ID 4486637881, 102 clinicians
McReynolds Anesthesia, PAGroup PAC ID 3678645595, 8 clinicians

Practice addresses (Care Compare)

1030 River Oaks Dr
Flowood, MS 39232-9553
Phone (601) 932-1030

640 Leigh Dr
Columbus, MS 39705-3014
Phone (662) 328-7123

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
State of Mississippi - University of Mississippi Medical Center Current Accepting new patients
Premier Anesthesia of Montgomery PC Anesthesiology CurrentSince Mar 1, 2024 Accepting new patients
Cullman Regional Anesthesia Services LLC Anesthesiology CurrentSince Aug 12, 2024 Accepting new patients
USA Health Anesthesia Billing Services, LLC Anesthesiology CurrentSince Aug 1, 2023 Accepting new patients
Jackson Anesthesia Associates PA Anesthesiology CurrentSince Jun 21, 1999 Accepting new patients
Anesthesia Consultants PA Anesthesiology CurrentSince Jul 1, 2023 Accepting new patients
State of Mississippi-University of Mississippi Medical Center CurrentSince Apr 22, 2023 Accepting new patients
State of Mississippi - University of Mississippi Medical Center CurrentSince Apr 22, 2023 Accepting new patients
McReynolds Anesthesia, PA CurrentSince Jan 1, 2023 Accepting new patients
Hattiesburg Clinic PA CurrentSince Jul 31, 2023 Accepting new patients
Willow Anesthesia Services LLC CurrentSince Jun 1, 2023 Accepting new patients
Hattiesburg Clinic, PA CurrentSince Jul 31, 2023 Accepting new patients
Jackson Pain Center PA Past Accepting new patients

Locations

1912 AL Highway 157
Cullman, AL 35058
Phone (256) 737-2496

1700 Center St
Mobile, AL 36604
Phone (251) 415-1000

2451 Fillingim St
Mobile, AL 36617
Phone (251) 434-3711

7956 Vaughn Rd
Ste 165
Montgomery, AL 36116

470 Taylor Rd
Ste 100
Montgomery, AL 36117
Phone (334) 284-9600

2105 E South Blvd
Montgomery, AL 36116
Phone (334) 286-2842

504 Clinton Center Dr
Ste 4300
Clinton, MS 39056

640 Leigh Dr
Columbus, MS 39705
Phone (662) 328-7123

1053 River Oaks Dr
Flowood, MS 39232
Phone (601) 969-1430

1053 River Oaks Dr
#C
Flowood, MS 39232
Phone (601) 969-1430

960 Avent Dr
Grenada, MS 38901
Phone (662) 227-7000

415 S 28th Ave
Hattiesburg, MS 39401
Phone (601) 261-3606

2500 N State St
Jackson, MS 39216
Phone (601) 815-4775

1030 River Oaks Dr
Jackson, MS 39232
Phone (601) 376-2165

1151 N State St
Ste 311
Jackson, MS 39202
Phone (601) 969-1171

499 Azalea Dr
Oxford, MS 38655
Phone (662) 234-7979

Interoperability endpoints

  • Direct secure messaging: cupton184513@ummc.direct-ci.com

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 13

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691366400000",
    "number": "1992870711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1151 N STATE ST",
            "address_2": "SUITE 311",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392022407",
            "telephone_number": "601-969-1171",
            "fax_number": "601-969-1173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1151 N STATE ST",
            "address_2": "SUITE 311",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "39202",
            "telephone_number": "601-969-1171",
            "fax_number": "601-969-1173"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "415 S 28th Ave",
            "address_purpose": "LOCATION",
            "city": "Hattiesburg",
            "state": "MS",
            "postal_code": "394017246",
            "country_code": "US",
            "telephone_number": "601-261-3606",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "UPTON",
        "first_name": "CHARLES",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-21",
        "last_updated": "2023-08-07",
        "certification_date": "2023-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MS",
            "license": "16292",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0120942",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MS

Sources for this page

Verify at the official NPI Registry.