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

Grant Jeffrey Randall, MD

Individual provider Dermatology Physician · NPI 1245793728

Grant Jeffrey Randall, MD is a Dermatology in Charleston, South Carolina. Graduated from University of Missouri, Kansas City, School of Medicine in 2019, 7 years ago. Practices with Cornerstone Dermatology and Surgery Group PC, an 8-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
7
Trained at
University of Missouri, Kansas City, School of Medicine
Licensed in
MO
In the registry since
2019
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

1101 Waterline St
Charleston, SC 29492-9049
Phone: (843) 792-3021
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1600 Midtown Ave, Mount Pleasant, SC 29464-3771 — (843) 792-3021

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 2024001206 (MO)

Record details

NPI number1245793728
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 10, 2019
Last updated in NPPESJuly 26, 2026
Certification dateJuly 26, 2026

Medicare enrollment

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

Medicare specialtyDERMATOLOGY
Medical schoolUNIVERSITY OF MISSOURI, KANSAS CITY, SCHOOL OF MEDICINE
Graduated 2019 (7 years in practice)
Group practice Cornerstone Dermatology And Surgery Group Pc — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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