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

Levi Jelks Jr., NURSEPRACTITIONER

Individual provider Acute Care Nurse Practitioner · NPI 1306333083

Levi Jelks Jr., NURSEPRACTITIONER is a Nurse Practitioner in Riverdale, Georgia. Qualified in 2015, 11 years ago. Practices with Qcpi-Villagemd PC, a 77-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
11
Licensed in
GA
In the registry since
2018
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

83 Uppr Riverdale Road
Riverdale, GA 30274-3029
Phone: (770) 968-7933
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence RN130092 (GA)

Record details

NPI number1306333083
Entity typeIndividual (Type 1)
GenderMale
Credentials NURSEPRACTITIONER
Sole proprietorNo
NPI enumeratedApril 18, 2018
Last updated in NPPESApril 18, 2018
Mailing address1939 Highway 138 Sw, Riverdale, GA 30296-1819

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Qcpi-Villagemd Pc — 77 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Riverdale