Randi Katherine Popp

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

Legal business name

RANDI KATHERINE POPP

Doing business as

Well Family Medicine, LLC

Practice address

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

Phone

(843) 766-6229

NPI assigned

Apr 24, 2012

Organization subpart

Yes

Parent organization

RANDI KATHERINE POPPAs reported in NPPES

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

Authorized official

Name

Dr. Randi K. Popp, MDNPI 1093793424

Title

Owner

Phone

(843) 766-6229

Specialties & licenses 1

Addresses

Other names 1

• Well Family Medicine, LLC Doing business as

Part of

Randi Katherine Popp

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Randi Katherine Popp, M.D.

  • Family Medicine Physician
  • Charleston, SC
  • NPI 1093793424
  NPD (past) Authorized official

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

{
    "created_epoch": "1335225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337126400000",
    "number": "1407114887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2980 N BEVERLY GLEN CIR",
            "address_2": "SUITE 301",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900771726",
            "telephone_number": "310-474-9809"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANDI KATHERINE POPP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RANDI KATHERINE POPP",
        "enumeration_date": "2012-04-24",
        "last_updated": "2012-05-16",
        "status": "A",
        "authorized_official_last_name": "POPP",
        "authorized_official_first_name": "RANDI",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-766-6229",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Well Family Medicine, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Grant Jeffrey Randall, MD
• Lauren Nicole Randall, MD
• Rebecca Randall
• Kayte Randazzo, RN, BSN
• William Salvator Randazzo, M.D.
• Randy Smies, PH.D. LLC
• Lindsay Ranes, BCBA
• Danielle Rangel Paradela, MD
• Christopher Andrew Rangel, M.D.
• Janine Ranko

• Non-Pharmacy Dispensing Site in Charleston, SC
• Providers in Charleston, SC by specialty
• Non-Pharmacy Dispensing Site in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2012; 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.