Individual provider Active NPI

Latonya N Brown, FNP

  • Family Nurse Practitioner
  • Columbia, SC
National Provider Identifier
1023064920
Registry record updated May 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN851 Issued in SC
Practice address
74 Polo Rd
Columbia, SC 29223-2806
Phone
(803) 865-9655
Fax
(803) 865-9653
NPI assigned
May 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APN851 SC Primary

Addresses

Primary practice location

74 Polo Rd
Columbia, SC 29223-2806

Mailing address

22 Shorts Landing Rd
Beaufort, SC 29907-2617
Phone (843) 846-8148

Other identifiers 1

IdentifierTypeStateIssuer
NP0405MedicaidSC

Other names 1

  • La Tonya Nicole Brown Other name

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111207000891 SC Practitioner - Nurse Practitioner 4183899883 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APN851SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wellspring Family Medicine, PA CurrentSince Feb 10, 2018 Accepting new patients

Locations

74 Polo Rd
Columbia, SC 29223
Phone (803) 419-7780

114 Gateway Corporate Blvd
Ste 300
Columbia, SC 29203
Phone (803) 254-3278

110 Atrium Way
Columbia, SC 29223
Phone (803) 788-1153

Interoperability endpoints

  • Direct secure messaging: latonya.brown@wfmed.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/GFDDAA/Endpoint/GFDDAA

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777939200000",
    "number": "1023064920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 SHORTS LANDING RD",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299072617",
            "telephone_number": "843-846-8148",
            "fax_number": "843-838-8312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74 POLO RD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292232806",
            "telephone_number": "803-865-9655",
            "fax_number": "803-865-9653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "LATONYA",
        "middle_name": "N",
        "name_prefix": "Miss",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-25",
        "last_updated": "2026-05-05",
        "certification_date": "2026-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "APN851",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP0405",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LA TONYA",
            "last_name": "BROWN",
            "middle_name": "NICOLE",
            "credential": "FNP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.