Individual provider Active NPI

Bob R Grandy, DC

  • Chiropractor
  • Batesburg, SC
National Provider Identifier
1164489779
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
776 Issued in SC
Practice address
653 W Columbia Ave
Batesburg, SC 29006-1810
Phone
(803) 532-3180
Fax
(803) 532-3180
NPI assigned
Apr 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 776 SC Primary

Addresses

Primary practice location

653 W Columbia Ave
Batesburg, SC 29006-1810

Mailing address

653 W Columbia Ave
Batesburg, SC 29006-1810
Phone (803) 532-3180

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110127000794 SC Practitioner - Chiropractic 2860671492 Reassigns benefits to 1 organization
Practice locations: Batesburg, SC

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Grandy Chiropractic Clinic, LLC Chiropractor CurrentSince Jan 1, 2012 Accepting new patients

Locations

653 W Columbia Ave
Batesburg Leesville, SC 29006
Phone (803) 532-3180

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 1977
Medicare assignment
May accept Medicare assignment
Group practices
Grandy Chiropractic Clinic, LLC 2 clinicians

Practice addresses (Care Compare)

653 W Columbia Ave
Batesburg, SC 29006-1810
Phone (803) 532-3180

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1164489779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "653 W COLUMBIA AVE",
            "city": "BATESBURG",
            "state": "SC",
            "postal_code": "290061810",
            "telephone_number": "803-532-3180",
            "fax_number": "803-532-3180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "653 W COLUMBIA AVE",
            "city": "BATESBURG",
            "state": "SC",
            "postal_code": "290061810",
            "telephone_number": "803-532-3180",
            "fax_number": "803-532-3180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANDY",
        "first_name": "BOB",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-27",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Batesburg, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.