Karissa Lena Maria Charles

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

98057 Issued in SC

Practice address

3725 Renee Dr
Myrtle Beach, SC 29579-4109

Phone

(843) 350-1124

Fax

(877) 452-8854

NPI assigned

Mar 20, 2023

Last updated

Sep 24, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in SC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: karissa.charles@hca5.eclinicaldirectplus.com

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1679270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790208000000",
    "number": "1104528462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3725 RENEE DR",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295794109",
            "telephone_number": "843-350-1124",
            "fax_number": "877-452-8854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3725 RENEE DR",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295794109",
            "telephone_number": "843-350-1124",
            "fax_number": "877-452-8854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARLES",
        "first_name": "KARISSA",
        "middle_name": "LENA MARIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-20",
        "last_updated": "2026-09-24",
        "certification_date": "2026-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "98057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "karissa.charles.1@29601.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "karissa.charles.1@29601.direct.athenahealth.com",
            "address_1": "3725 Renee Dr",
            "city": "Myrtle Beach",
            "state": "SC",
            "country_code": "US",
            "postal_code": "295794109",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jamie Lynn Chapman, ARNP
• Lindsey Pritchard Chappell, OTR/L
• Charles E Corbett Jr, DMD
• Charles E Corbett Jr, DMD PA
• John Charles, M.D.
• Charleston Vamc
• Matthew Chase, OT
• Joel M Cheek, RPT
• Kambayanda Leela Chengappa, M.D.,
• Laquanda O Chestnut

• Family Medicine Physician in Myrtle Beach, SC
• Providers in Myrtle Beach, SC by specialty
• Family Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.