WELLSPRING FAMILY MEDICINE, PA
NPI 1871718445
Family Medicine in Columbia, SC
About Wellspring Family Medicine, Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WELLSPRING FAMILY MEDICINE, PA (NPI 1871718445) is a healthcare organization registered as a family medicine in Columbia, South Carolina and active in the NPI registry since April 2007. The organization holds a CLIA Microscopy certificate valid through June 18, 2027 and lists Damon Daniels, Medical Doctor, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Wellspring Family Medicine, Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Wellspring Family Medicine, PA, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate for Provider-Performed Microscopy Procedures (PPMP) 42D1070016
Wellspring Family Medicine PA · Columbia, SCFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Wellspring Family Medicine, PA's NPI number?
The NPI number for Wellspring Family Medicine, PA is 1871718445. It was assigned to this organization in the NPPES registry on April 17, 2007.
Where is Wellspring Family Medicine, PA located?
Wellspring Family Medicine, PA is located at 110 Atrium Way, Columbia, SC 29223. The listed phone number is (803) 865-9655.
What is Wellspring Family Medicine, PA's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Wellspring Family Medicine, PA enrolled in Medicare?
Yes. Wellspring Family Medicine, PA is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Wellspring Family Medicine, PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Wellspring Family Medicine, PA, in Family Practice and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Wellspring Family Medicine, PA hold a CLIA laboratory certificate?
Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 42D1070016) is associated with this NPI, valid through June 18, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Wellspring Family Medicine, PA accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care and Ambetter of North Carolina list Wellspring Family Medicine, PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Wellspring Family Medicine, PA was last updated on December 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Wellspring Family Medicine, Pa · NPI 1871718445
Family Medicine organization in Columbia, South Carolina. Organization record, active in the CMS NPPES registry since April 17, 2007.
## Identity
- **NPI:** 1871718445 (Entity type: Organization)
- **Enumerated:** April 17, 2007
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Damon Daniels, MEDICAL DOCTOR
## Practice location
- **Address:** 110 ATRIUM WAY, Columbia, SC 29223-6301
- **Phone:** (803) 865-9655 · **Fax:** (803) 865-9653
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (1), Nurse Practitioner (1); 2 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 5, 2025
- **Other identifiers:** Medicaid 218231 (SC)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1871718445) · Data from the CMS NPPES public registry.