Individual provider Active NPI

Andruw Tyler Rollings, DC

  • Chiropractor
  • Columbia, SC
National Provider Identifier
1518776285
Registry record updated Jan 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5137 Issued in SC
Practice address
124 N Brickyard Rd
Columbia, SC 29223-6902
Phone
(803) 888-6646
NPI assigned
Jan 6, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5137 SC Primary

Addresses

Primary practice location

124 N Brickyard Rd
Columbia, SC 29223-6902

Mailing address

124 N Brickyard Rd
Columbia, SC 29223-6902
Phone (803) 888-6646

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250423002680 SC Practitioner - Chiropractic 1052836947 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Columbia Family Chiropractic Northeast LLCGroup PAC ID 5496110538, 4 clinicians

Practice addresses (Care Compare)

124 N Brickyard Rd
Columbia, SC 29223-6902
Phone (803) 788-8831

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5137SCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Columbia Family Chiropractic Forest Acres LLC Chiropractor CurrentSince Feb 1, 2025 Accepting new patients
Columbia Family Chiropractic Chiropractor CurrentSince Feb 1, 2025 Accepting new patients
Columbia Family Chiropractic Northeast LLC Chiropractor CurrentSince Feb 1, 2025 Accepting new patients

Locations

224 Oneil Ct
Ste 21
Columbia, SC 29223
Phone (803) 788-8831

1709 Saint Julian Pl
Columbia, SC 29204
Phone (803) 728-4528

124 N Brickyard Rd
Columbia, SC 29223
Phone (803) 788-8831

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1736121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736121600000",
    "number": "1518776285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 N BRICKYARD RD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292236902",
            "telephone_number": "803-888-6646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 N BRICKYARD RD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292236902",
            "telephone_number": "803-888-6646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROLLINGS",
        "first_name": "ANDRUW",
        "middle_name": "TYLER",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-01-06",
        "last_updated": "2025-01-06",
        "certification_date": "2025-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "5137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.