MEDICARE: MRS. RANDI KATHERINE POPP M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	MD19704	SC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1093793424
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. RANDI KATHERINE POPP M.D.

Provider Business Mailing Address
First Line	:	106 RIVERWOOD LN
Second Line	:
City	:	SUMMERVILLE
State	:	SC
Zip	:	29485-6033
Country	:	US
Telephone Number	:	843-870-8489
Fax Number	:

Provider Business Practice Location Address
First Line	:	1483 TOBIAS GADSON BLVD
Second Line	:	SUITE 102
City	:	CHARLESTON
State	:	SC
Zip	:	29407-8702
Country	:	US
Telephone Number	:	843-766-6229
Fax Number	:	843-766-2315

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/05/2006
Last Update Date	:	11/03/2024

Similar Medicare Providers

1528609724 — MARINA WESTPHAL LCSW
Practice Location Address:

1483 TOBIAS GADSON BLVD
CHARLESTON, SC
29407-8702

Practice Phone: 843-876-5026
Practice Fax:

1447246673 — DR. STEVEN DENNIS SHAPIRO M.D.
Practice Location Address:

1483 TOBIAS GADSON BLVD , STE 102
CHARLESTON, SC
29407-8702

Practice Phone: 843-766-2500
Practice Fax: 843-766-2315

1861435224 — SUSAN H LINDSTROM RN,CFNP,CPNP
Practice Location Address:

1483 TOBIAS GADSON BLVD , SUITE 102
CHARLESTON, SC
29407-8702

Practice Phone: 843-766-6229
Practice Fax: 843-766-2315

1326074576 — WELL FAMILY MEDICINE
Practice Location Address:

1483 TOBIAS GADSON BLVD , SUITE 102
CHARLESTON, SC
29407-8702

Practice Phone: 843-766-6229
Practice Fax: 843-766-2315

1821019159 — SLEEPI LLC
Practice Location Address:

1483 TOBIAS GADSON BLVD , SUITE 207
CHARLESTON, SC
29407-8702

Practice Phone: 803-936-1646
Practice Fax: 803-936-1647

1952324063 — DR. GERALD J SHEALY MD
Practice Location Address:

1483 TOBIAS GADSON BLVD , STE 202
CHARLESTON, SC
29407-8702

Practice Phone: 843-763-3916
Practice Fax: 843-763-4198

Directions to “ MRS. RANDI KATHERINE POPP M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.