Active NPI
John A Wells III, MD
- Ophthalmology Physician
- West Columbia, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 15565
- Practice address
- 124 Sunset Court
West Columbia, SC 29169 - Phone
- (803) 931-0077
- Fax
- (803) 931-0076
- NPI assigned
- Oct 19, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 15565 | SC | Primary |
| Retina Specialist (Ophthalmology) Physician | 207WX0107X | 15565 | SC |
Addresses
Primary practice location
124 Sunset Court
West Columbia, SC 29169
Mailing address
124 Sunset Court
West Columbia, SC 29169
Phone (803) 931-0077
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GP0623 | Medicaid | SC |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- Emory University School of Medicine, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
124 Sunset CT
West Columbia, SC 29169-2429
Phone (803) 744-0156
Hospital & facility affiliations
- Prisma Health Baptist
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15565 | SC | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Palmetto Retina Center LLC | Ophthalmology | Current | Accepting new patients |
| Carolina Retina Center P.a. | Ophthalmology | Current | Accepting new patients |
| Prisma Health Medical Group-Midlands | Current | Accepting new patients | |
| Prisma Health Medical Group-Midlands | Ophthalmology | Current | Accepting new patients |
| University Specialty Clinics - Ophthalmology | Ophthalmology | Past | Accepting new patients |
Locations
2750 Laurel St
Ste 101
Columbia, SC 29204
2 Medical Park Rd
Ste 506
Columbia, SC 29203
Phone (803) 434-3930
9 Richland Medical Park Dr
Ste 340
Columbia, SC 29203
Phone (803) 434-2020
400 N Cashua Dr
Florence, SC 29501
Phone (843) 664-9398
1316 N Lake Dr
Lexington, SC 29072
Phone (803) 358-1191
124 Sunset Ct
West Columbia, SC 29169
Phone (803) 744-0155
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- jwells@carolinaretinacenter.intellechartdirect.net
- john.wells@direct.palmettoretina.nextgenshare.com
Organizations & group practices 5
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.
-
- Ophthalmology Physician
- West Columbia, SC
- NPI 1255322806
-
- Multi-Specialty Clinic/Center
- Columbia, SC
- NPI 1275988321
Ophthalmology
-
- Retina Specialist (Ophthalmology) Physician
- Columbia, SC
- NPI 1205892783
-
- Durable Medical Equipment & Medical Supplies
- Columbia, SC
- NPI 1881469856
-
- Ophthalmology Physician
- Columbia, SC
- NPI 1275561771
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Columbia, SC
- NPI 1205889458
-
- General Acute Care Hospital
- Columbia, SC
- NPI 1306623137
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129680000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1491177600000",
"number": "1841289154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "124 SUNSET COURT",
"city": "WEST COLUMBIA",
"state": "SC",
"postal_code": "29169",
"telephone_number": "803-931-0077",
"fax_number": "803-931-0076"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "124 SUNSET COURT",
"city": "WEST COLUMBIA",
"state": "SC",
"postal_code": "29169",
"telephone_number": "803-931-0077",
"fax_number": "803-931-0076"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WELLS",
"first_name": "JOHN",
"middle_name": "A",
"name_suffix": "III",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-19",
"last_updated": "2017-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "SC",
"license": "15565",
"primary": true
},
{
"code": "207WX0107X",
"taxonomy_group": "",
"desc": "Ophthalmology, Retina Specialist",
"state": "SC",
"license": "15565",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GP0623",
"state": "SC"
}
],
"endpoints": [],
"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 Apr 3, 2017; 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.