Xiao M Androulakis, MD

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

34467 Issued in SC

Practice address

8 Richland Medical Park Road
Suite 420
Columbia, SC 29203-8004

Phone

(803) 545-6500

Fax

(803) 545-6051

NPI assigned

Apr 23, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• University Specialty Clinics - Ophthalmology

  • Ophthalmology Physician
  • Columbia, SC
  • NPI 1275561771
  NPD (past)

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

{
    "created_epoch": "1208908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489449600000",
    "number": "1194990093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3555 HARDEN STREET EXT",
            "address_2": "15 MEDICAL PARK, SUITE 300",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292036894",
            "telephone_number": "803-545-5017",
            "fax_number": "803-255-3451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 RICHLAND MEDICAL PARK ROAD",
            "address_2": "SUITE 420",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292038004",
            "telephone_number": "803-545-6500",
            "fax_number": "803-545-6051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDROULAKIS",
        "first_name": "XIAO",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-23",
        "last_updated": "2017-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "TN",
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "SC",
            "license": "34467",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "344675",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christopher Lee Andrews
• Courtney Brasfield Andrews, PT
• Kara Lynne Andrews, RDN
• Neal David Andrews, M.D.
• Rene C Andrews, PT
• Anesthesia Works LLC
• Anesthesiology Consultants of Columbia, PA
• Anew Home Health Services, LLC
• Angel of Love Home Care
• Angela D. Harper, M.D., PA

• Neurology Physician in Columbia, SC
• Providers in Columbia, SC by specialty
• Neurology Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.