Individual provider · Type 1 NPI

Levi Jordan Fowlkes, PA

Surgical Physician Assistant · Columbia, SC

NPI number 1265376180 Active

Practice location

1120 Roberts Branch Pkwy Ste 200
Columbia, SC 29203-9144

Call (803) 296-7846 Map

Mailing address

300 E Mcbee Ave Fl 4
Greenville, SC 29601-2842

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XNone listed
Surgical Physician Assistant Primary 363AS0400X6466 (SC)

Surgical Physician Assistant: Definition to come...

6 other providers at this address

Other surgical physician assistant providers in Columbia

See all in Columbia →

About NPI 1265376180

Levi Jordan Fowlkes, PA's National Provider Identifier is 1265376180, issued on Apr 20, 2026. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Columbia, SC. The record was last updated on Sep 3, 2026.