MR. JEFFREY DWAYNE RANDALL MPC
NPI 1376688796
Counselor - Mental Health in Little River, SC

Q: What is Jeffrey Randall's NPI number?

The NPI number for Jeffrey Randall is 1376688796. It was assigned to this individual provider in the NPPES registry on February 21, 2007.

Q: What is Jeffrey Randall's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Jeffrey Randall was last updated on September 18, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 21, 2007

501 HIGHWAY 90 E, LITTLE RIVER, SC 29566(803) 422-7231 Get Directions Write a Review

NPPES record last updated: September 18, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mr. Jeffrey Dwayne Randall Mpc NPPES

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

MR. JEFFREY DWAYNE RANDALL MPC (NPI 1376688796) is an individual mental health provider in Little River, South Carolina and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1376688796

Entity TypeIndividualMale

Primary Taxonomy101YM0800X

Provider Legal NameMR. JEFFREY DWAYNE RANDALLCredential: MPC

Location Address501 HIGHWAY 90 ELittle River, SC 29566-9261

Mailing Address501 Highway 90 ELittle River, SC 29566 · (803) 422-7231

Phone(803) 422-7231

Sole ProprietorNo

Enumeration DateFebruary 21, 2007

Last NPPES UpdateSeptember 18, 2014

✔ NPI 1376688796 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

501 HIGHWAY 90 E, Little River, SC 29566

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Other Identifiers 2

Medicare ID-Type Unspecified3430SC

Medicaid421504SC

Other Providers at the Same Location NPPES

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

CHARLIES ANGELS COMMUNITY SERVICES

Community/Behavioral Health

501 HIGHWAY 90 E
LITTLE RIVER, SC 29566

Horry County (704) 918-7966

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 Jeffrey Randall's NPI number?

The NPI number for Jeffrey Randall is 1376688796. It was assigned to this individual provider in the NPPES registry on February 21, 2007.

Where is Jeffrey Randall located?

Jeffrey Randall practices at 501 Highway 90 E, Little River, SC 29566. The listed phone number is (803) 422-7231.

What is Jeffrey Randall's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Jeffrey Randall was last updated on September 18, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.