Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Samuel Ruffin Yelverton, MD

Individual provider Surgery Physician · NPI 1689038168

Dr. Samuel Ruffin Yelverton, MD is a General Surgery in Jackson, Mississippi. Graduated from University of Mississippi School of Medicine in 2016, 10 years ago. Practices with Manatee Specialty Physician Alliance LLC, a 27-clinician group and accepts Medicare assignment. Licensed in Mississippi and North Carolina.

Years since qualifying
10
Trained at
University of Mississippi School of Medicine
Licensed in
MS, NC
In the registry since
2016
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

971 Lakeland Dr Ste 1460
Jackson, MS 39216-4684
Phone: (601) 982-3202
Fax: (601) 982-3259
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 28227 (MS)
Surgery Physician Taxonomy 208600000X · Licence 218753 (NC)

Record details

NPI number1689038168
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 11, 2016
Last updated in NPPESMay 14, 2021
Certification dateMay 14, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolUNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE
Graduated 2016 (10 years in practice)
Group practice Manatee Specialty Physician Alliance Llc — 27 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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