Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. John Randolph, MD

Individual provider Family Medicine Physician · NPI 1689677882

Dr. John Randolph, MD is a Family Practice in Liberty, South Carolina. Graduated from Ohio State University College of Medicine in 1998, 28 years ago. Practices with Cannon Memorial Hospital, a 30-clinician group and accepts Medicare assignment. Licensed in Ohio and South Carolina.

Years since qualifying
28
Trained at
Ohio State University College of Medicine
Licensed in
OH, SC
In the registry since
2005
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

105 Liberty Blvd
Liberty, SC 29657-1641
Phone: (864) 843-8500
Fax: (864) 843-5634
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 24613 (SC)
Family Medicine Physician Taxonomy 207Q00000X · Licence 35074072 (OH)

Record details

NPI number1689677882
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 23, 2005
Last updated in NPPESOctober 14, 2014
Mailing addressPo Box 919, Pickens, SC 29671-0919

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated 1998 (28 years in practice)
Group practice Cannon Memorial Hospital — 30 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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