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

Levi Samuel Widener

Individual provider Physician Assistant · NPI 1306512371

Levi Samuel Widener is a Physician Assistant in Marion, Virginia. Graduated from Lincoln Memorial University Medical Department in 2021, 5 years ago. Practices with Abingdon Physician Partners, a 40-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Tennessee and Virginia.

Years since qualifying
5
Trained at
Lincoln Memorial University Medical Department
Licensed in
TN, VA
In the registry since
2021
Specialties on file
2

Practice location Address checks out

245 Medical Park Dr Ste B
Marion, VA 24354
Phone: (276) 378-3020
Show map & directions

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

Additional practice locations (3)

  • 16000 Johnston Memorial Dr, Abingdon, VA 24211 — (276) 258-1000
  • 21371 Forsythe Rd, Bristol, VA 24202-4357 — (276) 525-4377
  • 58 Carroll Street, Lebanon, VA 24266 — (276) 883-8000

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 4743 (TN)
Physician Assistant Taxonomy 363A00000X · Licence 0110008072 (VA)

Record details

NPI number1306512371
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 19, 2021
Last updated in NPPESDecember 5, 2025
Certification dateDecember 5, 2025
Mailing address1021 W Oakland Ave Ste 310, Johnson City, TN 37604-2192

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolLINCOLN MEMORIAL UNIVERSITY MEDICAL DEPARTMENT
Graduated 2021 (5 years in practice)
Group practice Abingdon Physician Partners — 40 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Marion