Wellspring Family Medicine, PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

21823 Issued in SC

Legal business name

WELLSPRING FAMILY MEDICINE, PA

Practice address

110 Atrium Way
Columbia, SC 29223-6301

Phone

(803) 865-9655

Fax

(803) 865-9653

NPI assigned

Apr 17, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Damon Daniels, MDNPI 1235104464

Title

Medical Doctor

Phone

(803) 865-9655

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Damon Daniels, MD,MPH

  • Family Medicine Physician
  • Columbia, SC
  • NPI 1235104464
  Medicare reassignment NPD Authorized official
• Latonya N Brown, FNP

  • Family Nurse Practitioner
  • Columbia, SC
  • NPI 1023064920
  Medicare reassignment NPD

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764892800000",
    "number": "1871718445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 ATRIUM WAY",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292236301",
            "telephone_number": "803-865-9655",
            "fax_number": "803-865-9653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLSPRING FAMILY MEDICINE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2025-12-05",
        "certification_date": "2025-12-05",
        "status": "A",
        "authorized_official_last_name": "DANIELS",
        "authorized_official_first_name": "DAMON",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "803-865-9655",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "21823",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "218231",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Raygen Wells
• Ronald Scott Wells, M.D.
• Sylvia K. Wells
• Thomas Alexander Wells
• Wellspring Counseling South Carolina
• Wellspring Healthcare LLC
• Georgia Welnick, RN
• Robin Barrineau Welsh, MD
• Welvista
• Welvista

• Family Medicine Physician in Columbia, SC
• Providers in Columbia, SC by specialty
• Family Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.