Individual provider Active NPI

Javier Enrique Carles, M.D.

  • Family Medicine Physician
  • Chapin, SC
National Provider Identifier
1508809344
Registry record updated May 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
22639 Issued in SC
Practice address
557 Columbia Ave Ste B
Chapin, SC 29036-8324
Phone
(803) 345-3414
Fax
(803) 345-1672
NPI assigned
Jun 13, 2006
Last updated
May 5, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 22639 SC Primary

Addresses

Primary practice location

557 Columbia Ave Ste B
Chapin, SC 29036-8324

Mailing address

PO Box 6069
West Columbia, SC 29171-6069

Other practice location 1

1612 Chapin Rd
Chapin, SC 29036-9304
Phone (803) 345-3414

Other identifiers 2

IdentifierTypeStateIssuer
080174872OtherSCRR MEDICARE
T66871MedicaidSC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jcarles79379@direct.lexmed.com

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20041019000503 SC Practitioner - Family Practice 3678533163 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of South Carolina School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lexington Health IncGroup PAC ID 2567872070, 905 clinicians

Practice addresses (Care Compare)

1612 Chapin Rd
Chapin, SC 29036-9304
Phone (803) 345-3414

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.09 of 100Reported as group
Quality
68.87
Promoting interoperability
100
Improvement activities
40
Cost
78.11

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions23

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
22639SCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prisma Health University Medical Group CurrentSince Feb 4, 2014 Accepting new patients
Greenville Health System CurrentSince Sep 9, 2014 Accepting new patients
Prisma Health University Medical Group Family Medicine CurrentSince Feb 4, 2014 Accepting new patients
Lexington County Health Services District Inc Current Accepting new patients
Greenville Health System Current Accepting new patients
Greenville Health System CurrentSince Sep 9, 2014 Accepting new patients
Lexington Health Inc Family Medicine Current Accepting new patients
Lexington Health Inc Family Medicine CurrentSince Feb 1, 2021 Accepting new patients
Lexington Health Inc CurrentSince Feb 1, 2021 Accepting new patients
Lexington County Health Services District, Inc. Past Accepting new patients

Locations

1612 Chapin Rd
Chapin, SC 29036
Phone (803) 345-3414

557 Columbia Ave
#B
Chapin, SC 29036
Phone (803) 345-3414

22725 US Highway 76
Clinton, SC 29325
Phone (864) 833-9100

210 Freeman Farm Rd
Duncan, SC 29334
Phone (864) 968-5123

9100 Highway 14
Gray Court, SC 29645
Phone (864) 876-4888

7 Independence Pt
Ste 100
Greenville, SC 29615
Phone (864) 797-6106

106 Parkview Dr
Laurens, SC 29360
Phone (864) 454-0888

811 W Main St
Ste 101
Lexington, SC 29072
Phone (803) 936-7230

1776 Skylyn Dr
Spartanburg, SC 29307
Phone (864) 577-9970

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746403200000",
    "number": "1508809344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6069",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291716069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "557 COLUMBIA AVE STE B",
            "city": "CHAPIN",
            "state": "SC",
            "postal_code": "290368324",
            "telephone_number": "803-345-3414",
            "fax_number": "803-345-1672"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1612 Chapin Rd",
            "address_purpose": "LOCATION",
            "city": "Chapin",
            "state": "SC",
            "postal_code": "290369304",
            "country_code": "US",
            "telephone_number": "803-345-3414",
            "fax_number": "803-345-1672",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARLES",
        "first_name": "JAVIER",
        "middle_name": "ENRIQUE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-13",
        "last_updated": "2025-05-05",
        "certification_date": "2025-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "22639",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "080174872",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "T66871",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jcarles79379@direct.lexmed.com",
            "affiliation": "N",
            "address_1": "1612 Chapin Rd",
            "city": "Chapin",
            "state": "SC",
            "country_code": "US",
            "postal_code": "290369304",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chapin, SC

Sources for this page

Verify at the official NPI Registry.