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LEVI JORDAN FOWLKES PA
NPI 1265376180
Physician Assistant - Surgical in Columbia, SC

Active since April 20, 2026PECOS EnrolledAccepts Medicare Assignment
1120 ROBERTS BRANCH PKWY STE 200, COLUMBIA, SC 29203(803) 296-7846 Get Directions Write a Review

NPPES record last updated: September 3, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 3, 2026, Apr 20, 2026 (2 updates tracked since 2026).

About Levi Jordan Fowlkes Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LEVI JORDAN FOWLKES PA (NPI 1265376180) is an individual surgical provider in Columbia, South Carolina, licensed in South Carolina (6466) and active in the NPI registry since April 2026. He is enrolled in Medicare PECOS and is a graduate of Other (2026).

NPPES Registry Identity

NPI1265376180
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameLEVI JORDAN FOWLKESCredential: PA
Location Address1120 ROBERTS BRANCH PKWY STE 200Columbia, SC 29203-9144
Mailing Address300 E Mcbee Ave Fl 4Greenville, SC 29601-2842
Phone(803) 296-7846
Sole ProprietorNo
Medical School CMSOtherGraduated 2026
Enumeration DateApril 20, 2026
Last NPPES UpdateSeptember 3, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 3, 2026
✔ NPI 1265376180 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in SC · 6466
Also ListedPhysician AssistantTaxonomy 363A00000X
1120 ROBERTS BRANCH PKWY STE 200, Columbia, SC 29203
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of South Carolina.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Levi Jordan Fowlkes Pa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2961969050
PECOS Enrollment IDI20260808000386
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOHN CLAVET M.D.
Physical Medicine & Rehabilitation
1120 ROBERTS BRANCH PKWY STE 200
COLUMBIA, SC 29203
Richland County (803) 296-7846
CUTLER FITZGERALD
Physician Assistant (Surgical)
1120 ROBERTS BRANCH PKWY STE 200
COLUMBIA, SC 29203
Richland County (803) 296-7846
MR. JAMES CARRINGTON COFFEY MS, ATC, PA-S
Physician Assistant (Surgical)
1120 ROBERTS BRANCH PKWY STE 200
COLUMBIA, SC 29203
Richland County (803) 296-9206
MATTHEW POSTON
Physician Assistant (Surgical)
1120 ROBERTS BRANCH PKWY STE 200
COLUMBIA, SC 29203
Richland County (803) 296-9206
MICHAEL D. RICHARDS PA-C
Physician Assistant (Surgical)
1120 ROBERTS BRANCH PKWY STE 200
COLUMBIA, SC 29203
Richland County (803) 296-9206
DR. KUSHAGRA MAINI MD
Psychiatry & Neurology (Pain Medicine)
1120 ROBERTS BRANCH PKWY STE 200
COLUMBIA, SC 29203
Richland County (803) 296-7846

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Levi Fowlkes's NPI number?

The NPI number for Levi Fowlkes is 1265376180. It was assigned to this individual provider in the NPPES registry on April 20, 2026.

Where is Levi Fowlkes located?

Levi Fowlkes practices at 1120 Roberts Branch Pkwy Ste 200, Columbia, SC 29203. The listed phone number is (803) 296-7846.

What is Levi Fowlkes's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Levi Fowlkes enrolled in Medicare?

Yes. Levi Fowlkes is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Levi Fowlkes accept?

Health plans from BlueCross BlueShield of South Carolina list Levi Fowlkes as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Levi Fowlkes was last updated on September 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.