Organization Active NPI

Grundy Chiropractic, Inc

  • Chiropractor
  • Peachtree City, GA
National Provider Identifier
1083990774
Registry record updated Oct 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR003105 Issued in GA
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

Updated by the provider on Oct 26, 2011

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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.