LEVI JORDAN FOWLKES PA
NPI 1265376180
Physician Assistant - Surgical in Columbia, SC
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
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Levi Jordan Fowlkes Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
COLUMBIA, SC 29203
COLUMBIA, SC 29203
COLUMBIA, SC 29203
COLUMBIA, SC 29203
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 enrollment system.
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 20 days 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.
# Levi Jordan Fowlkes, PA · NPI 1265376180
Surgical physician in Columbia, South Carolina. Individual provider, active in the CMS NPPES registry since April 20, 2026.
## Identity
- **NPI:** 1265376180 (Entity type: Individual)
- **Enumerated:** April 20, 2026
- **Primary specialty:** Physician Assistant - Surgical · taxonomy 363AS0400X
- **State license:** 6466 (South Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 1120 ROBERTS BRANCH PKWY STE 200, Columbia, SC 29203-9144
- **Phone:** (803) 296-7846
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2026
## Record status
- **NPPES last updated:** September 3, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1265376180) · Data from the CMS NPPES public registry.