Healthcare Provider Details

I. General information

NPI: 1609056506
Provider Name (Legal Business Name): XANTHIA SAMAROPOULOS M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/07/2007
Last Update Date: 09/09/2025
Certification Date: 09/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3000 NEW BERN AVE
RALEIGH NC
27610-1231
US

IV. Provider business mailing address

3434 EDWARDS MILL RD STE 112-398
RALEIGH NC
27612-4275
US

V. Phone/Fax

Practice location:
  • Phone: 919-878-1819
  • Fax: 919-873-9244
Mailing address:
  • Phone: 919-878-1819
  • Fax: 919-873-9244

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License Number201000983
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number201000983
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: