Individual provider Active NPI

Richard L Yelverton Jr., M.D.

  • Specialist
  • Jackson, MS
National Provider Identifier
1295834166
Registry record updated Aug 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
10803 Issued in MS
Practice address
971 Lakeland Dr Ste 1460
Jackson, MS 39216-4621
Phone
(601) 982-3202
Fax
(601) 982-3259
NPI assigned
Sep 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 10803 MS Primary

Addresses

Primary practice location

971 Lakeland Dr Ste 1460
Jackson, MS 39216-4621

Mailing address

971 Lakeland Dr Ste 1460
Jackson, MS 39216-4621
Phone (601) 982-3202

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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 1

Enrollment IDStateProvider typePAC IDDetails
I20100528000378 MS Practitioner - General SurgeryPractitioner - Thoracic Surgery 7416973722 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Thoracic Surgery
Education
University of Mississippi School of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lakeland Surgical Clinic PLLCGroup PAC ID 9335221464, 14 clinicians

Practice addresses (Care Compare)

971 Lakeland Dr
Jackson, MS 39216-4621
Phone (601) 982-3202

Hospital & facility affiliations

  • Arden Home Health of West Ms, LLC Home health agency, Ridgeland, MS, CCN 257115
  • St Dominic-Jackson Memorial Hospital Hospital, Jackson, MS, CCN 250048
  • Merit Health River Oaks Hospital, Flowood, MS, CCN 250138
  • Merit Health Women'S Hospital Hospital, Flowood, MS, CCN 250136

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)12
Mastectomy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux14
Melanoma (skin cancer) excision1-10
Removal of tissue12
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10803MSMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Lakeland Surgical Clinic PLLC Specialist CurrentSince Jul 1, 1993 Accepting new patients

Locations

971 Lakeland Dr
Ste 1460
Jackson, MS 39216
Phone (601) 982-3202

Interoperability endpoints

  • Direct secure messaging: ryelverton219409@ummc.direct-ci.com

Organizations & group practices 1

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.

Hospital & facility affiliations 4

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": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314144000000",
    "number": "1295834166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "971 LAKELAND DR STE 1460",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164621",
            "telephone_number": "601-982-3202",
            "fax_number": "601-982-3259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "971 LAKELAND DR STE 1460",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164621",
            "telephone_number": "601-982-3202",
            "fax_number": "601-982-3259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YELVERTON",
        "first_name": "RICHARD",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2011-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MS",
            "license": "10803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MS

Sources for this page

Verify at the official NPI Registry.