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

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
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Practice location Address checks out

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

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