Active NPI
Allen Breland Yelverton
- Nurse Practitioner
- Vicksburg, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 902697
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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 100
- Quality
- 73.89
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Delta Health Center Inc | Current | Accepting new patients | |
| Specialty Orthopedic Group of Mississippi PLLC | Current | Accepting new patients | |
| Specialty Orthopedic Group of Mississippi PLLC | Current | 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.
-
- Primary Care Clinic/Center
- Laurel, MS
- NPI 1841385168
-
- Orthopaedic Surgery Physician
- Tupelo, MS
- NPI 1639553506
-
- Federally Qualified Health Center (FQHC)
- Mound Bayou, MS
- NPI 1659378610
-
- Orthopaedic Surgery Physician
- Senatobia, MS
- NPI 1801491352
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Flowood, MS
- NPI 1417935578
-
- General Acute Care Hospital
- Vicksburg, MS
- NPI 1215981303
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2026; 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.