Active NPI
Grundy Chiropractic, Inc
- Chiropractor
- Peachtree City, GA
National Provider Identifier
1083990774
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CHIR003105
- Legal business name
- GRUNDY CHIROPRACTIC, INC
- Practice address
- 314 Willow Bend Rd
Peachtree City, GA 30269-1600 - Phone
- (770) 631-9877
- NPI assigned
- Oct 26, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Bruce A Grundy
- Title
- Owner/President
- Phone
- (770) 631-9877
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CHIR003105 | GA | Primary |
Addresses
Primary practice location
314 Willow Bend Rd
Peachtree City, GA 30269-1600
Mailing address
314 Willow Bend Rd
Peachtree City, GA 30269-1600
National Provider Directory
National Provider DirectoryLocations
314 Willow Bend Rd
Peachtree Cty, GA 30269
Phone (404) 631-9877
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1319587200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1319587200000",
"number": "1083990774",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "314 WILLOW BEND RD",
"city": "PEACHTREE CITY",
"state": "GA",
"postal_code": "302691600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "314 WILLOW BEND RD",
"city": "PEACHTREE CITY",
"state": "GA",
"postal_code": "302691600",
"telephone_number": "770-631-9877"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GRUNDY CHIROPRACTIC, INC",
"organizational_subpart": "NO",
"enumeration_date": "2011-10-26",
"last_updated": "2011-10-26",
"status": "A",
"authorized_official_last_name": "GRUNDY",
"authorized_official_first_name": "BRUCE",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OWNER/PRESIDENT",
"authorized_official_telephone_number": "770-631-9877",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "GA",
"license": "CHIR003105",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Peachtree City, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.