Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

GRANT JEFFREY RANDALL MD
NPI 1245793728
Dermatology in Charleston, SC

Active since April 10, 2019PECOS Enrolled
1101 WATERLINE ST, CHARLESTON, SC 29492(843) 792-3021 Get Directions Write a Review

NPPES record last updated: July 26, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 26, 2026, Jun 27, 2024, Apr 10, 2019 (3 updates tracked since 2019).

About Grant Jeffrey Randall Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GRANT JEFFREY RANDALL MD (NPI 1245793728) is an individual dermatology provider in Charleston, South Carolina, licensed in Missouri (2024001206) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS, maintains a secondary practice location in Mount Pleasant, and is a graduate of University Of Missouri, Kansas City, School Of Medicine (2019).

NPPES Registry Identity

NPI1245793728
Entity TypeIndividualMale
Primary Taxonomy207N00000X
Provider Legal NameGRANT JEFFREY RANDALLCredential: MD
Location Address1101 WATERLINE STCharleston, SC 29492-9049
Mailing Address135 Rutledge Avenue, Msc 578Charleston, SC 29425 · (843) 792-1414
Sole ProprietorNo
Medical School CMSUniversity Of Missouri, Kansas City, School Of MedicineGraduated 2019
Enumeration DateApril 10, 2019
Last NPPES UpdateJuly 26, 20263 updates tracked since enumeration
NPPES CertifiedJuly 26, 2026
NPI 1245793728 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in MO · 2024001206
Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

1101 WATERLINE ST, Charleston, SC 29492

Secondary Practice Location 1

Location 11600 Midtown AveMount Pleasant, SC 29464-3771 · Phone (843) 792-3021

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Grant Jeffrey Randall Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1052642493
PECOS Enrollment IDI20240712001706
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 11

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
339 services90 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
111 services106 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
103 services103 patients
Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
99 services95 patients
Destruction of skin growth, 1-14 growths 17110
"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.
79 services65 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
67 services57 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29492 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$67.12 typical visit price
range $16.96 – $133.52
Typical copayment $16.78 (range $4.24 – $33.38)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Psychiatric/Mental Health)
1101 WATERLINE ST
CHARLESTON, SC 29492
Family Medicine
1101 WATERLINE ST
CHARLESTON, SC 29492

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Grant Randall's NPI number?

The NPI number for Grant Randall is 1245793728. It was assigned to this individual provider in the NPPES registry on April 10, 2019.

Where is Grant Randall located?

Grant Randall practices at 1101 Waterline St, Charleston, SC 29492. The listed phone number is (843) 792-3021.

What is Grant Randall's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Grant Randall enrolled in Medicare?

Yes. Grant Randall is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Grant Randall accept?

Health plans from Blue Cross and Blue Shield of Kansas City and Oscar Insurance Company list Grant Randall as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Grant Randall was last updated on July 26, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.