Individual provider Active NPI

Randi Katherine Popp, M.D.

  • Family Medicine Physician
  • Charleston, SC
National Provider Identifier
1093793424
Registry record updated Jul 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD19704 Issued in SC
Practice address
1483 Tobias Gadson Blvd
Suite 102
Charleston, SC 29407-8702
Phone
(843) 766-6229
Fax
(843) 766-2315
NPI assigned
Jan 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD19704 SC Primary

Addresses

Primary practice location

1483 Tobias Gadson Blvd
Suite 102
Charleston, SC 29407-8702

Mailing address

106 Riverwood LN
Summerville, SC 29485-6033
Phone (843) 870-8489

Other practice location 1

1510 Ribaut Rd
Port Royal, SC 29935-1403
Phone (843) 770-0676

Other practice location 2

1101 Greythorne Dr
Mount Pleasant, SC 29466-6332
Phone (864) 686-6163

Other identifiers 1

IdentifierTypeStateIssuer
197049MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, NC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050421000029 SC Practitioner - Family Practice 9537107560 Reassigns benefits to 6 organizations
I20200530000194 NC Practitioner - Family Practice 9537107560 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Novant Health Urgent Cares LLCGroup PAC ID 8628502598, 183 clinicians
American Current Care PAGroup PAC ID 9739260019, 545 clinicians

Practice addresses (Care Compare)

1510 Ribaut Rd
Port Royal, SC 29935-1403
Phone (843) 770-0676

4115 Dorchester Rd
Suite 100
Charleston, SC 29405-7501
Phone (843) 554-6737

5070 International Blvd
Suite 115
North Charleston, SC 29418-6006
Phone (943) 554-1029

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD19704SCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Novant Health Urgent Cares LLC Family Medicine CurrentSince Nov 1, 2024 Accepting new patients
American Current Care PA CurrentSince Jun 12, 2024 Accepting new patients
Curana Health of South Carolina PC CurrentSince Mar 1, 2018 Accepting new patients
Care Talk Health FL PA CurrentSince Mar 1, 2024 Accepting new patients
Physicians Eldercare PA CurrentSince Sep 27, 2022 Accepting new patients
Curana Health of North Carolina PLLC CurrentSince Oct 11, 2022 Accepting new patients
CH Specialty Services SC LLC CurrentSince May 22, 2023 Accepting new patients
Randi Katherine Popp Past Accepting new patients
Liberty Doctors LLC D/B/a Family First Medical Care Family Medicine Past Accepting new patients

Locations

4849 Rugby Ave
Bethesda, MD 20814
Phone (240) 817-7500

4692 Brownsboro Rd
Winston Salem, NC 27106
Phone (336) 251-1114

6167 Braided Mane Pass SW
Aiken, SC 29803
Phone (803) 502-1484

100 Jimmy Love Ln
Columbia, SC 29212
Phone (803) 731-4055

7519 Rivers Ave
North Charleston, SC 29406
Phone (843) 735-5020

2375 Baker Hospital Blvd
North Charleston, SC 29405
Phone (843) 744-2750

4115 Dorchester Rd
Ste 100
North Charleston, SC 29405
Phone (843) 554-6737

6650 Rivers Ave
North Charleston, SC 29406
Phone (843) 260-5361

1510 Ribaut Rd
Port Royal, SC 29935
Phone (843) 524-3241

255 Midland Pkwy
Summerville, SC 29485
Phone (843) 821-5005

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 10

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": "1136419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784678400000",
    "number": "1093793424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 RIVERWOOD LN",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294856033",
            "telephone_number": "843-870-8489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1483 TOBIAS GADSON BLVD",
            "address_2": "SUITE 102",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294078702",
            "telephone_number": "843-766-6229",
            "fax_number": "843-766-2315"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1510 Ribaut Rd",
            "address_purpose": "LOCATION",
            "city": "Port Royal",
            "state": "SC",
            "postal_code": "299351403",
            "country_code": "US",
            "telephone_number": "843-770-0676",
            "fax_number": "843-770-0776",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1101 Greythorne Dr",
            "address_purpose": "LOCATION",
            "city": "Mount Pleasant",
            "state": "SC",
            "postal_code": "294666332",
            "country_code": "US",
            "telephone_number": "864-686-6163",
            "fax_number": "864-686-6166",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POPP",
        "first_name": "RANDI",
        "middle_name": "KATHERINE",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-05",
        "last_updated": "2026-07-22",
        "certification_date": "2026-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "MD19704",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "197049",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

Verify at the official NPI Registry.