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

Jason Fowlkes, MD

Individual provider Surgery Physician · NPI 1356534952

Jason Fowlkes, MD is a General Surgery in Blacksburg, Virginia. Qualified in 2004, 22 years ago. Practices with Lewis Gale Physicians LLC, a 194-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
22
Licensed in
VA
In the registry since
2007
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

809 Davis St Ste 1
Blacksburg, VA 24060-7013
Phone: (540) 961-1590
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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 0116016565 (VA)

Record details

NPI number1356534952
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedAugust 27, 2007
Last updated in NPPESJanuary 19, 2010

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Lewis Gale Physicians Llc — 194 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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