SAMANTHA JO YELLEY (DO) – Emergency Medicine Physician, NPI 1386050375

SAMANTHA JO YELLEY (DO) is a healthcare provider. based in Hattiesburg, Mississippi. specializing in EMERGENCY MEDICINE. They hold the professional credentials DO. They hold a License No. 58.005360 (OH). The NPI Number for SAMANTHA JO YELLEY (DO) is 1386050375

Main info

Female
Sole Proprietor
12 Years Of Experience
Accepts Medicare Assignment
Name
SAMANTHA JO YELLEY (DO)
NPI
1386050375
Phone
(740) 352-8394
Address
111 SOUTHERN HILLS DR
Enumeration Date
10 July 2014
Last Update Date
30 August 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7403958420
Graduation Year
2014 (12 years ago)
PAC ID
7517220718
Group Practice PAC ID
5890606008
Professional Enrollment ID
I20180423001711
Address ID
OH456409360JA500XXRDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:11State licenses:3Digital endpointsOther names

590 EMERGENCY MEDICINE in MS

Provider Addresses for SAMANTHA JO YELLEY (DO)

  • 111 SOUTHERN HILLS DR

    HATTIESBURG, MS 394015829

    Phone: (740) 352-8394

    Fax: (740) 352-8394

    Type: Mailing

  • 5001 HARDY ST

    HATTIESBURG, MS 394021308

    Phone: (601) 296-3600

    Type: Location

  • 5001 Hardy St

    Hattiesburg, MS 394021308

    Phone: (601) 296-3600

    Type: Location

  • 1805 27th St

    Portsmouth, OH 456622640

    Phone: (740) 356-5000

    Type: Location

  • 1011 PRESTWICK PL

    CINCINNATI, OH 452453374

    Phone: (740) 352-8394

    Type: Mailing

  • 3000 HOSPITAL DR

    BATAVIA, OH 451031921

    Phone: (513) 732-8200

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2018-04-23

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20180423001711IEmergency MedicineOHTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99285Emergency department visit with high level of medical decision making134126$0
99284Emergency department visit with moderate level of medical decision making5353$0
99291Critical care, first 30-74 minutes2929$0
99283Emergency department visit with low level of medical decision making1413$0
View full utilization report →

Insurance plans in this area (ZIP 39401)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5890606008View full group profile
NameSpecialtyState
H E M A T O L O G Y/ O N C O L O G YKY
Internal MedicineOH
-OH
Internal MedicineWV
Pain ManagementOH
Internal MedicineOH
-OH
-OH
Nurse PractitionerOH
Family PracticeOH

Reviews

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Frequently asked questions

Is there an official ID for SAMANTHA JO YELLEY (DO) in U.S. healthcare records?
The official identifier for SAMANTHA JO YELLEY (DO) is NPI 1386050375.
Active or inactive — what applies to SAMANTHA JO YELLEY (DO)?
You should see SAMANTHA JO YELLEY (DO) as active in CMS-hosted NPPES data.
What kind of doctor is SAMANTHA JO YELLEY (DO)?
SAMANTHA JO YELLEY (DO) is associated with Emergency Medicine Physician in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with SAMANTHA JO YELLEY (DO)?
Directory geography for SAMANTHA JO YELLEY (DO) centers on Hattiesburg, Mississippi.
What does 6 location(s) imply?
6 practice locations appear in the available data.

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