Organization Active NPI

Richard L Yelverton MD PA

  • Surgery Physician
  • Jackson, MS
National Provider Identifier
1629371018
Registry record updated Dec 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
04433 Issued in MS
Legal business name
RICHARD L YELVERTON MD PA
Practice address
1040 River Oaks Dr Ste 102
Jackson, MS 39232-9539
Phone
(601) 933-5660
Fax
(601) 933-5670
NPI assigned
Dec 7, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2010

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

Authorized official

Name
Richard L Yelverton, MD
Title
President
Phone
(601) 957-7340

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X 04433 MS Primary

Addresses

Primary practice location

1040 River Oaks Dr Ste 102
Jackson, MS 39232-9539

Mailing address

971 Lakeland Dr Ste 1460
Jackson, MS 39216-4621
Phone (601) 957-7340

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1291680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291680000000",
    "number": "1629371018",
    "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": "601-957-7340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 RIVER OAKS DR STE 102",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392329539",
            "telephone_number": "601-933-5660",
            "fax_number": "601-933-5670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD L YELVERTON MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-07",
        "last_updated": "2010-12-07",
        "status": "A",
        "authorized_official_last_name": "YELVERTON",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "601-957-7340",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "MS",
            "license": "04433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2010; 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.