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

Mrs. Sandra McKnight Randolph, NURSEPRACTITIONER

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1164547071

Mrs. Sandra McKnight Randolph, NURSEPRACTITIONER is a Nurse Practitioner in Columbia, South Carolina. Qualified in 1995, 31 years ago. Practices with Three Rivers Behavioral Health LLC, a 10-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
31
Licensed in
SC
In the registry since
2007
Specialties on file
2

Practice location Address checks out

4100 N Main St Ste 201
Columbia, SC 29203-5800
Phone: (803) 814-2112
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2711 Colonial Dr, Columbia, SC 29203-6818 — (803) 726-9300

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence APN840 (SC)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence APN840 (SC)

Record details

NPI number1164547071
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSEPRACTITIONER
Sole proprietorNo
NPI enumeratedMarch 20, 2007
Last updated in NPPESFebruary 9, 2026
Certification dateFebruary 9, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 1995 (31 years in practice)
Group practice Three Rivers Behavioral Health Llc — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Columbia