Grant Jeffrey Randall, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

2024001206 Issued in MO

Practice address

1101 Waterline St
Charleston, SC 29492-9049

Phone

(843) 792-3021

NPI assigned

Apr 10, 2019

Last updated

Jul 26, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MO

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 1

Specialty

Dermatology

Education

University of Missouri, Kansas City, School of Medicine, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cornerstone Dermatology and Surgery Group PCGroup PAC ID 3870856669, 8 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

87.09 of 100Reported as group

Quality

91.65

Improvement activities

40

Cost

68.1

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cornerstone Dermatology & Surgery Group, PC

  • Procedural Dermatology Physician
  • Lee's Summit, MO
  • NPI 1114427739
  Medicare reassignment Care Compare group NPD
• Randall Dermatology, PC

  • Dermatology Physician
  • West Lafayette Bra, IN
  • NPI 1245340488
  NPD
• Albert C. Lee, M.D., P.C.

  dba Indiana Neurology Specialty Care

  • Neurology Physician
  • Lafayette, IN
  • NPI 1013047042
  NPD (past)

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

{
    "created_epoch": "1554854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785024000000",
    "number": "1245793728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 RUTLEDGE AVENUE",
            "address_2": "MSC 578",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "29425",
            "telephone_number": "843-792-1414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 WATERLINE ST",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294929049",
            "telephone_number": "843-792-3021"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1600 Midtown Ave",
            "address_purpose": "LOCATION",
            "city": "Mount Pleasant",
            "state": "SC",
            "postal_code": "294643771",
            "country_code": "US",
            "telephone_number": "843-792-3021",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RANDALL",
        "first_name": "GRANT",
        "middle_name": "JEFFREY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-10",
        "last_updated": "2026-07-26",
        "certification_date": "2026-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MO",
            "license": "2024001206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "direct@direct.musc.edu",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "1101 Waterline St",
            "city": "Charleston",
            "state": "SC",
            "country_code": "US",
            "postal_code": "294929049",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Lauren Reace Ramshur, M.D.
• Arpit Rana, MD
• John Chrisman Rand, MD
• Brittany Joyce Randall, OTD, OTR/L
• Derrick Wade Randall, MD
• Lauren Nicole Randall, MD
• Rebecca Randall
• Kayte Randazzo, RN, BSN
• William Salvator Randazzo, M.D.
• Randi Katherine Popp (Well Family Medicine, LLC)

• Dermatology Physician in Charleston, SC
• Providers in Charleston, SC by specialty
• Dermatology Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.