Active NPI
Javelle A. Wynter, MD
- Gastroenterology Physician
- West Columbia, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 97016
- Practice address
- 146 E Hospital Dr Ste 400
West Columbia, SC 29169-4800 - Phone
- (803) 936-3300
- Fax
- (803) 736-7735
- NPI assigned
- Apr 3, 2014
- Last updated
- Aug 3, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 303868 | NY | |
| Gastroenterology Physician | 207RG0100X | 24262 | ND | |
| Gastroenterology Physician | 207RG0100X | 303868 | NY | |
| Gastroenterology Physician | 207RG0100X | 97016 | SC | Primary |
| Gastroenterology Physician | 207RG0100X | 2024-00389 | NC | |
| Gastroenterology Physician | 207RG0100X | 0101272196 | VA | |
| Gastroenterology Physician | 207RG0100X | 291699 | MA |
Addresses
Primary practice location
146 E Hospital Dr Ste 400
West Columbia, SC 29169-4800
Mailing address
PO Box 6069
West Columbia, SC 29171-6069
Phone (803) 791-2491
Other practice location 1
55 Lake Ave N
Worcester, MA 01655-0002
Phone (508) 334-3068
Other practice location 2
28 Newton St
Southborough, MA 01772-1215
Phone (508) 334-3068
Other practice location 3
824 N Military Hwy Ste 100
Norfolk, VA 23502-3652
Phone (888) 236-2263
Other practice location 4
2609 Medical Office Pl
Goldsboro, NC 27534-9428
Phone (919) 734-1779
Other practice location 5
535 Faunce Corner Rd
Dartmouth, MA 02747-1242
Phone (508) 996-3991
Other practice location 6
161 Fort Washington Ave
New York, NY 10032-3729
Phone (212) 305-1909
Other practice location 7
21 Eastern Ave
Worcester, MA 01605-3094
Phone (508) 334-8419
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110191412A | Medicaid | MA |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jwynter205015@direct.lexmed.com | Direct | |
| Direct Messaging Address | jwynter1468073@direct.UNC.nchie.net | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, DC, VA, MA, NC, ND, SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 7
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- Meharry Medical College School of Medicine, 2014
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
1220 Sheyenne St
West Fargo, ND 58078-2637
Phone (701) 234-4445
2609 Medical Office PL
Goldsboro, NC 27534-9428
Phone (919) 734-1779
271 Carew St
Springfield, MA 01104-2377
Phone (413) 748-9000
28 Newton St
Southborough, MA 01772-1215
Phone (508) 579-2233
5225 23Rd Ave S
Fargo, ND 58104-7927
Phone (701) 417-2575
531 Faunce Corner Rd
Dartmouth, MA 02747-1242
Phone (508) 996-3991
801 Broadway N
Fargo, ND 58102-3641
Phone (701) 234-2000
Hospital & facility affiliations
- Saint Anne's Hospital
- Mercy Medical Ctr
- Southcoast Hospitals Group
- Unc Health Care Wayne
- Sanford Medical Center Fargo
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 53 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 97 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2024-00389 | NC | MD | Gastroenterology Physician |
| 24262 | ND | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gastroenterology Associates of Northern Virginia, LLC | Gastroenterology | Current | Accepting new patients |
| Lifespan Physician Group of Massachusetts Inc | Internal Medicine | Current | Accepting new patients |
| Riverbend Medical Group, Inc | Current | Accepting new patients | |
| Sentara Medical Group | Internal Medicine | Current | Accepting new patients |
| Steward Medical Group, Inc | Current | Accepting new patients | |
| Trustees of Columbia University in the City of New York | Internal Medicine | Current | Accepting new patients |
| Unc Physicians Network LLC | Internal Medicine | Current | Accepting new patients |
| Trustees of Columbia University in the City of New York | Internal Medicine | Current | Accepting new patients |
| Unc Physicians Network, LLC | Current | Accepting new patients | |
| Umass Memorial Medical Group Inc | Internal Medicine | Current | Accepting new patients |
| Lifespan Corporation | Current | Accepting new patients | |
| Steward Medical Group, Inc | Internal Medicine | Current | Accepting new patients |
| Riverbend Medical Group, Inc. | Internal Medicine | Current | Accepting new patients |
| Umass Memorial Medical Group, Inc. | Current | Accepting new patients | |
| Mwa,PC | Internal Medicine | Past | Accepting new patients |
| Old Dominion Anesthesia LLC | Past | Accepting new patients | |
| Trustees of Columbia University in the City of New York | Internal Medicine | Past | Accepting new patients |
Locations
851 Middle St
Ste 2100
Fall River, MA 02721
Phone (508) 235-5445
531 Faunce Corner Rd
North Dartmouth, MA 02747
Phone (508) 991-2255
535 Faunce Corner Rd
North Dartmouth, MA 02747
Phone (508) 961-0606
28 Newton St
Southborough, MA 01772
Phone (508) 334-3068
271 Carew St
Springfield, MA 01104
Phone (413) 748-9000
21 Eastern Ave
Worcester, MA 01605
Phone (508) 334-8419
55 Lake Ave N
Worcester, MA 01655
Phone 508334100048862
940 Martin Luther King Jr Blvd
Chapel Hill, NC 27514
Phone (919) 942-5123
2609 Medical Office Pl
Goldsboro, NC 27534
Phone (919) 734-1779
161 Fort Washington Ave
New York, NY 10032
Phone (212) 305-8559
622 W 168th St
New York, NY 10032
Phone (212) 305-4931
630 W 168th St
#4
New York, NY 10032
Phone (212) 305-6387
3022 Williams Dr
Ste 301
Fairfax, VA 22031
Phone (703) 698-1775
3028 Javier Rd
Ste 300
Fairfax, VA 22031
Phone (703) 895-3740
824 N Military Hwy
Ste 100
Norfolk, VA 23502
Phone (888) 236-2263
850 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-0162
863 Glenrock Rd
Norfolk, VA 23502
Phone (757) 252-3321
24570 Medical Dr
Sterling, VA 20166
Phone (571) 367-4400
Interoperability endpoints
- https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
- https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
- javelle.wynter.1@2017.direct.athenahealth.com
- jwynter1468073@direct.unc.nchie.net
- jwynter236232@brownhealth.medalliesdirect.net
Organizations & group practices 21
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.
-
dba Brown Health Medical Group
- Family Medicine Physician
- Taunton, MA
- NPI 1235957713
Internal Medicine
-
dba Trinity Health Of New England Medical Group
- Internal Medicine Physician
- Springfield, MA
- NPI 1841651197
-
- Internal Medicine Physician
- Worcester, MA
- NPI 1760445373
-
dba Sanford 1717 Medical Building
- Family Medicine Physician
- West Fargo, ND
- NPI 1184917924
-
dba UNC Family Medicine at Pittsboro
- Family Medicine Physician
- Pittsboro, NC
- NPI 1750704367
-
- Gastroenterology Physician
- Fairfax, VA
- NPI 1205884368
DC
-
- Internal Medicine Physician
- Dartmouth, MA
- NPI 1821349317
-
- Surgery Physician
- New York, NY
- NPI 1508266347
Internal Medicine
-
dba Lexington Orthopaedic and Sports Medicine
- Sports Medicine (Orthopaedic Surgery) Physician
- West Columbia, SC
- NPI 1710634753
-
dba UNC Health North Carolina Heart and Vascular
- Hospitalist Physician
- Raleigh, NC
- NPI 1215741640
-
- Children's Rehabilitation Hospital
- Providence, RI
- NPI 1790221232
Hospital & facility affiliations 10
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fall River, MA
- NPI 1972330165
-
dba Sanford Bemidji
- Ambulatory Surgical Clinic/Center
- Bemidji, MN
- NPI 1093876922
Hospital
-
dba Sanford 1717 Medical Building
- Family Medicine Physician
- West Fargo, ND
- NPI 1184917924
Hospital
-
dba Sanford Physical Therapy
- General Acute Care Hospital
- Fargo, ND
- NPI 1245519081
-
dba Sanford POWER Center
- General Acute Care Hospital
- Fargo, ND
- NPI 1528009412
-
dba Tobey Hospital
- General Acute Care Hospital
- Wareham, MA
- NPI 1922024835
-
dba Mercy Medical Center
- General Acute Care Hospital
- Springfield, MA
- NPI 1043204316
-
dba Mercy Rehabilitation Hospital
- Rehabilitation Hospital Unit
- Springfield, MA
- NPI 1750360798
-
dba UNC Health Wayne
- General Acute Care Hospital
- Goldsboro, NC
- NPI 1750353462
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1396483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785715200000",
"number": "1659799906",
"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",
"telephone_number": "803-791-2491",
"fax_number": "803-794-5960"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "146 E HOSPITAL DR STE 400",
"city": "WEST COLUMBIA",
"state": "SC",
"postal_code": "291694800",
"telephone_number": "803-936-3300",
"fax_number": "803-736-7735"
}
],
"practiceLocations": [
{
"address_1": "55 Lake Ave N",
"address_purpose": "LOCATION",
"city": "Worcester",
"state": "MA",
"postal_code": "016550002",
"country_code": "US",
"telephone_number": "508-334-3068",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "28 Newton St",
"address_purpose": "LOCATION",
"city": "Southborough",
"state": "MA",
"postal_code": "017721215",
"country_code": "US",
"telephone_number": "508-334-3068",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "824 N Military Hwy Ste 100",
"address_purpose": "LOCATION",
"city": "Norfolk",
"state": "VA",
"postal_code": "235023652",
"country_code": "US",
"telephone_number": "888-236-2263",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2609 Medical Office Pl",
"address_purpose": "LOCATION",
"city": "Goldsboro",
"state": "NC",
"postal_code": "275349428",
"country_code": "US",
"telephone_number": "919-734-1779",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "535 Faunce Corner Rd",
"address_purpose": "LOCATION",
"city": "Dartmouth",
"state": "MA",
"postal_code": "027471242",
"country_code": "US",
"telephone_number": "508-996-3991",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "161 Fort Washington Ave",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100323729",
"country_code": "US",
"telephone_number": "212-305-1909",
"fax_number": "212-305-1081",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "21 Eastern Ave",
"address_purpose": "LOCATION",
"city": "Worcester",
"state": "MA",
"postal_code": "016053094",
"country_code": "US",
"telephone_number": "508-334-8419",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WYNTER",
"first_name": "JAVELLE",
"middle_name": "A.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-04-03",
"last_updated": "2026-08-03",
"certification_date": "2026-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "303868",
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "ND",
"license": "24262",
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "NY",
"license": "303868",
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "SC",
"license": "97016",
"primary": true
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "NC",
"license": "2024-00389",
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "VA",
"license": "0101272196",
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "MA",
"license": "291699",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110191412A",
"state": "MA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jwynter205015@direct.lexmed.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "146 E Hospital Dr Ste 400",
"city": "West Columbia",
"state": "SC",
"country_code": "US",
"postal_code": "291694800",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jwynter1468073@direct.UNC.nchie.net",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CDA/CCD/TXT",
"address_1": "2609 Medical Office Pl",
"city": "Goldsboro",
"state": "NC",
"country_code": "US",
"postal_code": "275349428",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in West Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.