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WELLSPRING FAMILY MEDICINE, PA
NPI 1871718445
Family Medicine in Columbia, SC

Active since April 17, 2007CLIA 42D1070016 · Microscopy
110 ATRIUM WAY, COLUMBIA, SC 29223(803) 865-9655(803) 865-9653 Get Directions Write a Review

NPPES record last updated: December 5, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

NPI1871718445
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameWELLSPRING FAMILY MEDICINE, PA
Location Address110 ATRIUM WAYColumbia, SC 29223-6301
Mailing Address74 Polo RdColumbia, SC 29223-2806 · (803) 865-9655 · Fax (803) 865-9653
Phone(803) 865-9655
Fax(803) 865-9653
Organization SubpartNo
Authorized OfficialDamon DanielsMedical Doctor · (803) 865-9655
Enumeration DateApril 17, 2007
Last NPPES UpdateDecember 5, 2025
NPPES CertifiedDecember 5, 2025
✔ NPI 1871718445 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in SC · 21823
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
110 ATRIUM WAY, Columbia, SC 29223
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Other Identifiers 1

Medicaid218231SC

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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, SC
Active · expires Jun 18, 2027
CLIA Number42D1070016
Laboratory TypePhysician Office
Certificate Effective DateJune 19, 2025
Certificate Expiration DateJune 18, 2027
Laboratory DirectorDamon Daniels MD Mph
Laboratory Phone(803) 865-9655
Laboratory LocationWellspring Family Medicine PA74 Polo Road, Columbia, SC 29223
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PREMIER PHYSICIAN GROUP, LLC
Family Medicine
110 ATRIUM WAY
COLUMBIA, SC 29223
Richland County (803) 381-2869
SIMPLICITY PHARMACY SERVICES,PC
Pharmacist (Geriatric)
110 ATRIUM WAY
COLUMBIA, SC 29223
Richland County (803) 419-8916
DR. BEVERLY Y SIMONS
Family Medicine
110 ATRIUM WAY
COLUMBIA, SC 29223
Richland County (803) 788-1153
DEBORAH H ANTLEY PT
Physical Therapist
110 ATRIUM WAY
COLUMBIA, SC 29223
Richland County (803) 788-9950
LELAND E GEORGE PA
Physician Assistant
110 ATRIUM WAY
COLUMBIA, SC 29223
Richland County (803) 788-1153

Frequently 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.

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.

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 7 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.