Samuel Ruffin Yelverton, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

28227 Issued in MS

Practice address

971 Lakeland Dr Ste 1460
Jackson, MS 39216-4684

Phone

(601) 982-3202

Fax

(601) 982-3259

NPI assigned

Apr 11, 2016

Last updated

May 14, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL, NC2 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

Specialty

General Surgery

Education

University of Mississippi School of Medicine, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Manatee Specialty Physician Alliance LLCGroup PAC ID 8921473927, 27 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Patients First Home Care LLC Home health agency, Bradenton, FL, CCN 687173
• Lakewood Ranch Medical Center Hospital, Bradenton, FL, CCN 100299
• Sarasota Memorial Hospital Hospital, Sarasota, FL, CCN 100087

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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

• Manatee Specialty Physician Alliance, LLC

  • Orthopaedic Surgery Physician
  • Bradenton, FL
  • NPI 1881304624

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Carolinas Medical Center

  dba Atrium Health Levine Children's Gastroenterology

  • Obstetrics & Gynecology Physician
  • Charlotte, NC
  • NPI 1275774333

  Single Specialty

  Medicare reassignment NPD
• Carolinas Physicians Network Inc

  dba Atrium Health Musculoskeletal Institute Orthopedics & Sports Medici

  • Orthopaedic Surgery Physician
  • Charlotte, NC
  • NPI 1437607686

  Single Specialty

  Medicare reassignment NPD
• Manatee Physician Alliance, LLC

  • Family Medicine Physician
  • Bradenton, FL
  • NPI 1588970446

  Single Specialty

  Medicare reassignment NPD
• The Charlotte-Mecklenburg Hospital Authority

  dba Levine Cancer Institute

  • Medical Oncology Physician
  • Indian Land, SC
  • NPI 1669738829

  NC, Single Specialty

  Medicare reassignment NPD
• Carolinas Medical Center

  dba Atrium Health Pulmonary University

  • Surgical Critical Care Physician
  • Charlotte, NC
  • NPI 1699979732
  NPD
• Carolinas Medical Center

  dba Atrium Health Pharmacy Kenilworth

  • Community/Retail Pharmacy
  • Charlotte, NC
  • NPI 1982710554
  NPD
• Carolinas Physicians Network Inc

  dba Atrium Health Diabetes Prevention

  • Endocrinology, Diabetes & Metabolism Physician
  • Charlotte, NC
  • NPI 1437038544
  NPD
• Carolinas Physicians Network Inc

  dba Atrium Health General Surgery

  • Surgical Critical Care Physician
  • Shelby, NC
  • NPI 1821469735

  Surgery

  NPD
• The Charlotte-Mecklenburg Hospital Authority

  dba Atrium Health General Surgery Lincoln

  • Surgery Physician
  • Lincolnton, NC
  • NPI 1699006858

  Single Specialty

  NPD
• The Charlotte-Mecklenburg Hospital Authority

  dba Atrium Health Pineville Rehabilitation Hospital

  • Rehabilitation Hospital Unit
  • Charlotte, NC
  • NPI 1962987131
  NPD

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

• Lakewood Ranch Medical Center

  • General Acute Care Hospital
  • Bradenton, FL
  • NPI 1730179714
  Care Compare affiliation
• Patients First Home Care, LLC

  • Home Health Agency
  • Sarasota, FL
  • NPI 1245845312
  Care Compare affiliation
• Patients First Home Care, LLC

  • Home Health Agency
  • Bradenton, FL
  • NPI 1578252615
  Care Compare affiliation
• Sarasota County Public Hospital District

  dba Sarasota Memorial Hospital

  • General Acute Care Hospital
  • Sarasota, FL
  • NPI 1245294826
  Care Compare affiliation

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

{
    "created_epoch": "1460332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620950400000",
    "number": "1689038168",
    "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": "392164684",
            "telephone_number": "601-951-7583",
            "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": "392164684",
            "telephone_number": "601-982-3202",
            "fax_number": "601-982-3259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YELVERTON",
        "first_name": "SAMUEL",
        "middle_name": "RUFFIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-04-11",
        "last_updated": "2021-05-14",
        "certification_date": "2021-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "MS",
            "license": "28227",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NC",
            "license": "218753",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kacie Jones Yeager, CRNA
• Eyal R Yefet, MD
• Kecia Michelle Yelverton, PT
• Richard L Yelverton Jr., M.D.
• Richard L Yelverton, M.D.
• Chin Bin Yen
• Sabrina Chin Wen Yen, MD
• Timothy Edmund Yen, MD
• Victor Chin Jon Yen
• Michael John Kwon-Qune Yeung-Lai-Wah, M.D.

• Surgery Physician in Jackson, MS
• Providers in Jackson, MS by specialty
• Surgery Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.