Individual provider Active NPI

Allen Breland Yelverton

  • Nurse Practitioner
  • Vicksburg, MS
National Provider Identifier
1710472790
Registry record updated Apr 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
902697 Issued in MS
Practice address
3317 Pemberton Square Blvd
Vicksburg, MS 39180-5578
Phone
(601) 636-1173
Fax
(601) 638-8287
NPI assigned
Jun 22, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 902697 MS Primary

Addresses

Primary practice location

3317 Pemberton Square Blvd
Vicksburg, MS 39180-5578

Mailing address

2200 Highway 61 N
Vicksburg, MS 39183-8246
Phone (601) 883-3391

Other practice location 1

235 S 14th Ave
Laurel, MS 39440-4227
Phone (601) 651-2830

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180829004477 MS Practitioner - Nurse Practitioner 0345590048 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aria Podiatry Care PLLCGroup PAC ID 2567822661, 53 clinicians

Practice addresses (Care Compare)

235 S 14TH Ave
Laurel, MS 39440-4227
Phone (601) 651-2830

725 Dunbar Ave
Bay St Louis, MS 39520-2920
Phone (877) 674-1211

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.07 of 100Reported as apm
Quality
73.89
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Delta Health Center Inc Current Accepting new patients
Specialty Orthopedic Group of Mississippi PLLC CurrentSince Feb 1, 2026 Accepting new patients
Specialty Orthopedic Group of Mississippi PLLC CurrentSince Feb 1, 2026 Accepting new patients

Locations

903 E Sunflower Rd
Ste 100
Cleveland, MS 38732
Phone (662) 545-3205

548 Rosemary Rd
Cleveland, MS 38732
Phone (662) 741-8880

1414 Hospital St
Greenville, MS 38703
Phone (662) 335-3991

2363 Highway 1 S
Greenville, MS 38701
Phone (662) 334-1253

118 Front Ave
Indianola, MS 38751
Phone (662) 741-2151

14000 Highway 82 W
Itta Bena, MS 38941
Phone (334) 357-1543

801 N Broad St
Leland, MS 38756
Phone (662) 686-0295

598 Ingram St
Moorhead, MS 38761
Phone (662) 246-8028

702 Mlk St
Mound Bayou, MS 38762
Phone (662) 741-2151

20400 Highway 61
Rolling Fork, MS 39159
Phone (662) 741-2151

1211 S Gloster St
Ste A
Tupelo, MS 38801
Phone (662) 377-3380

Organizations & group practices 5

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 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": "1529625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776297600000",
    "number": "1710472790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 HIGHWAY 61 N",
            "city": "VICKSBURG",
            "state": "MS",
            "postal_code": "391838246",
            "telephone_number": "601-883-3391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3317 PEMBERTON SQUARE BLVD",
            "city": "VICKSBURG",
            "state": "MS",
            "postal_code": "391805578",
            "telephone_number": "601-636-1173",
            "fax_number": "601-638-8287"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "235 S 14th Ave",
            "address_purpose": "LOCATION",
            "city": "Laurel",
            "state": "MS",
            "postal_code": "394404227",
            "country_code": "US",
            "telephone_number": "601-651-2830",
            "fax_number": "601-651-2835",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YELVERTON",
        "first_name": "ALLEN",
        "middle_name": "BRELAND",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-06-22",
        "last_updated": "2026-04-16",
        "certification_date": "2026-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "902697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vicksburg, MS

Sources for this page

Verify at the official NPI Registry.