Individual provider Active NPI

Javelle A. Wynter, MD

  • Gastroenterology Physician
  • West Columbia, SC
National Provider Identifier
1659799906
Registry record updated Aug 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
97016 Issued in SC
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, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2026

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
110191412AMedicaidMA

Electronic endpoints 2

TypeEndpointUseAffiliation
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, SC7 enrollments
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 7

Enrollment IDStateProvider typePAC IDDetails
I20200818000180 NY Practitioner - Gastroenterology 2769604263 Reassigns benefits to 1 organization
I20210709002252 DC Practitioner - Gastroenterology 2769604263 Reassigns benefits to 1 organization
I20210714000506 VA Practitioner - GastroenterologyPractitioner - Internal Medicine 2769604263 Reassigns benefits to 2 organizations
I20220628001080 MA Practitioner - Gastroenterology 2769604263 Reassigns benefits to 4 organizations
I20260213003490 NC Practitioner - Gastroenterology 2769604263 Reassigns benefits to 2 organizations
I20260424001943 ND Practitioner - Gastroenterology 2769604263 Reassigns benefits to 1 organization
I20260618001270 SC Practitioner - Gastroenterology 2769604263 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Meharry Medical College School of Medicine, 2014
Medicare assignment
May accept Medicare assignment
Group practices
Sanford Medical Center FargoGroup PAC ID 8426967803, 1,210 clinicians
Unc Physicians Network LLCGroup PAC ID 5496940546, 985 clinicians
Riverbend Medical Group IncGroup PAC ID 5698064343, 227 clinicians
Umass Memorial Medical Group IncGroup PAC ID 4284539891, 2,494 clinicians
Lifespan Physician Group of Massachusetts IncGroup PAC ID 3870020399, 458 clinicians

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy53
Upper gastrointestinal (GI) endoscopy for acid reflux97

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2024-00389NCMDGastroenterology Physician
24262NDMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gastroenterology Associates of Northern Virginia, LLC Gastroenterology CurrentSince Aug 9, 2021 Accepting new patients
Lifespan Physician Group of Massachusetts Inc Internal Medicine CurrentSince Jan 1, 2025 Accepting new patients
Riverbend Medical Group, Inc CurrentSince Feb 20, 2026 Accepting new patients
Sentara Medical Group Internal Medicine CurrentSince Sep 1, 2022 Accepting new patients
Steward Medical Group, Inc CurrentSince Jul 11, 2022 Accepting new patients
Trustees of Columbia University in the City of New York Internal Medicine CurrentSince Jun 6, 2020 Accepting new patients
Unc Physicians Network LLC Internal Medicine CurrentSince Mar 1, 2026 Accepting new patients
Trustees of Columbia University in the City of New York Internal Medicine CurrentSince Jun 6, 2020 Accepting new patients
Unc Physicians Network, LLC CurrentSince Mar 1, 2026 Accepting new patients
Umass Memorial Medical Group Inc Internal Medicine CurrentSince Dec 22, 2025 Accepting new patients
Lifespan Corporation Current Accepting new patients
Steward Medical Group, Inc Internal Medicine CurrentSince Jul 11, 2022 Accepting new patients
Riverbend Medical Group, Inc. Internal Medicine CurrentSince Feb 20, 2026 Accepting new patients
Umass Memorial Medical Group, Inc. CurrentSince Dec 22, 2025 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

  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
  • Direct secure messaging: javelle.wynter.1@2017.direct.athenahealth.com
  • Direct secure messaging: jwynter1468073@direct.unc.nchie.net
  • Direct secure messaging: 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.

View all 21

Hospital & facility affiliations 10

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.

{
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    "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",
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            "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",
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            "postal_code": "017721215",
            "country_code": "US",
            "telephone_number": "508-334-3068",
            "country_name": "United States",
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        },
        {
            "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",
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            "country_code": "US",
            "telephone_number": "919-734-1779",
            "country_name": "United States",
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        },
        {
            "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

Verify at the official NPI Registry.