Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Owen Bailey Ivan, MD

Individual provider Internal Medicine Physician · NPI 1639932353

Dr. Owen Bailey Ivan, MD is an Internal Medicine Physician in Jackson, Mississippi. Licensed in Mississippi. Registered with an NPI since 2024.

Licensed in
MS
In the registry since
2024
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2500 N State St
Jackson, MS 39216-4500
Phone: (601) 984-5012
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence T-5603 (MS)

Record details

NPI number1639932353
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedFebruary 5, 2024
Last updated in NPPESJanuary 8, 2026
Certification dateJanuary 8, 2026
Mailing address2500 N State St, Jackson, MS 39216-4500

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