MR. JEFFREY DWAYNE RANDALL (NPI# 1376688796) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376688796 |
| Entity Type | Individual |
| Full Name | MR. JEFFREY DWAYNE RANDALL |
| Credential | MPC |
| Practice Address |
501 Highway 90 E Little River SC 29566-9261 |
| Mailing Address |
501 Highway 90 E Little River SC 29566 |
| Practice Telephone | 8034227231 |
| Mailing Telephone | 8034227231 |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2014-09-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 421504 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871926816 | Jeffrey Scott Randall | Licensed Practical Nurse | 2230 W Calle Del Sol, Phoenix, AZ 85085-7044 | 2013-08-13 |
| 1952469967 | Jeffrey Blaine Randall | Chiropractor | 434 S Kiwanis Ave, Suite A, Sioux Falls, SD 57104-3710 | 2006-12-04 |
| 1598716045 | Jeffrey Randall | Physical Therapist | 9088 Ridgeline Blvd Ste 106, Highlands Ranch, CO 80129-2380 | 2006-05-12 |
| 1730707480 | Jeffrey Blaine Randall | Counselor | 4867 Urbana Rd, Springfield, OH 45502 | 2020-07-09 |
| 1841754066 | Jeffrey Randall | Counselor | 770 Woodlane Rd, Westampton, NJ 08060-3804 | 2019-01-23 |
| 1053782656 | Jeffrey Randall | Social Worker | 3500 Ne Mlk Blvd Ste 200, Portland, OR 97212-2093 | 2015-10-08 |
| 1780916577 | Jeffrey Gordon Randall | Social Worker | 4131 Meridian Dr, Windsor, WI 53598-9699 | 2010-02-04 |
| 1467410811 | Jeffrey C Randall | Orthopaedic Surgery | 1112 W 6th St, Ste 124, Lawrence, KS 66044-2215 | 2006-05-03 |
| 1720046295 | Jeffrey Blaine Randall | Neurological Surgery | 20055 Lake Chabot Rd, # 110, Castro Valley, CA 94546 | 2006-05-03 |
| Street Address |
501 HIGHWAY 90 E |
| City | LITTLE RIVER |
| State | SC |
| Zip Code | 29566-9261 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134736309 | Holly Leanne Poplin | Nurse Practitioner | 3600 Sea Mountain Hwy, Suite C, Main Street Physicians/sc House Calls Inc, Little River, SC 29566 | 2020-09-30 |
| 1619534112 | Mcleod Loris Seacoast Hospital | Pharmacy | 4000 Hwy 9 East, Outpatient Pharmacy, Little River, SC 29566 | 2019-05-21 |
| 1366960585 | Sasha Hayes | Dentist | 1247 Highway 17 S, Little River, SC 29566 | 2017-09-07 |
| 1639557531 | Mary Lucille Harding | Nurse Practitioner | 3600 Sea Mountain Hwy, Suite, Main Street Physicians, Little River, SC 29566 | 2015-05-12 |
| 1770900771 | Dottie Randall-cox | Registered Nurse | 107 Hwy 57-north, Little River, SC 29566 | 2014-03-27 |
| 1689091688 | Carolyn Howe | Registered Nurse | 107 Highway 57 North, Dhec, Little River, SC 29566 | 2014-03-27 |
| 1376977884 | Southern Surgical Group, LLC | Specialist | 3600 Sea Mountain Hwy Suite A, Little River, SC 29566 | 2013-09-03 |
| 1144570888 | Laura Gore | Pharmacist | 2492 Hwy 9 East, Little River, SC 29566 | 2012-09-10 |
| 1255611406 | Belliams Home Health Services | Home Health | 687c Williamson Rd, Longs, SC 29566 | 2011-08-19 |
| 1083878813 | Lacie E. Edmison | Internal Medicine | 3980 Highway 9 E Ste 320, Little River, SC 29566 | 2008-07-10 |
| Find all providers in zip 29566 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588713903 | Alan Peter Tenthoff | Counselor | 3199 Loblolly Ave, Little River, SC 29566-9328 | 2007-01-09 |
| 1376191098 | Jazz & Coco LLC | Counselor | 289 Highway 90 E Unit H, Little River, SC 29566-9298 | 2019-08-27 |
| 1528475266 | James Bennett | Counselor | 289 Highway 90 E Unit H, Little River, SC 29566-9298 | 2014-07-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184225450 | Aligning Life's Responsibilities, LLC | Counselor | 1361 W Wade Hampton Blvd Ste F153, Greer, SC 29650-1146 | 2020-11-03 |
| 1649879008 | Marianne Matos | Counselor | 93 Acorn Ln, Aiken, SC 29801-7621 | 2020-10-18 |
| 1568060291 | Serenity Therapy Services | Counselor | 4607 Charlotte Hwy Ste 18, Lake Wylie, SC 29710-8149 | 2020-10-14 |
| 1679171391 | Jeanne Harrell | Counselor | 860 Lowcountry Blvd Ste B, Mt Pleasant, SC 29464-3091 | 2020-10-14 |
| 1700484714 | Shira Simmons Culbreath | Counselor | 5124 Norway Ln, Rock Hill, SC 29732-8399 | 2020-10-12 |
| 1659978047 | Allyssa Resech | Counselor | 2075 Calloway Pines Dr, Tega Cay, SC 29708-7206 | 2020-10-08 |
| 1912514555 | Melissa-miles Dunn | Counselor | 451 Folly Rd Ste 107, Charleston, SC 29412-2640 | 2020-09-28 |
| 1396351953 | Dennis Austin Everson | Counselor | 102 Commons Blvd # C, Piedmont, SC 29673-7766 | 2020-09-18 |
| 1346855228 | Christopher B. Briggman | Counselor | 4501 Mixson Ave Apt 322, North Charleston, SC 29405-3227 | 2020-09-09 |
| 1508470840 | Christine Schaub | Counselor | 214 Autumn Run Cir, Columbia, SC 29229-7622 | 2020-09-03 |
| Find all providers with the same taxonomy | ||||
| City | LITTLE RIVER |
| Zip Code | 29566 |
Please comment or provide details below to improve the information on MR. JEFFREY DWAYNE RANDALL.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.