Grandy Chiropractic Clinic, LLC
Organization Active NPI Chiropractor · Batesburg, SC
NPI 1306315528 · NPPES record last updated Apr 8, 2021
Key facts
- NPI
- 1306315528
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- Legal business name
- GRANDY CHIROPRACTIC CLINIC, LLC
- Practice address
- 653 West Columbia Avenue
Batesburg, SC 29006 - Phone
- (803) 532-3180
- Fax
- (803) 532-3180
- NPI assigned
- Nov 16, 2018
- Organization subpart
- No
Authorized official
- Name
- Dr. Bob Richard Grandy, DC
- Title
- Owner
- Phone
- (803) 532-3180
Practitioners 2
-
Bob R Grandy, DC
-
Casey E Grandy, DC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210524000261 | SC | Part B Supplier - Clinic/Group Practice | 2860891900 |
Receives reassigned benefits from 2 practitioners Practice locations: Batesburg, SC |
National Provider Directory
Locations
653 W Columbia Ave
Batesburg Leesville, SC 29006
Phone (803) 532-3180
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | Yes |
Addresses
Primary practice location
653 West Columbia Avenue
Batesburg, SC 29006
Mailing address
P.O. Box 2300
Leesville, SC 29070
Phone (803) 532-3180
Other providers in Batesburg, SC
- Chad Dancy
- Eau Claire Cooperative Health Center, Inc.
- Ayanna Akeya Kimbrel Etheredge
- Jennifer Fulmer
- Ginavra Gibson
- Bob R Grandy
- Ann Hall
- Erin Mathias Hallman
- Healthstat Wellness Amick Farms Batesburg
- Carolyn Ann Henderson
All providers in Batesburg, SC · Chiropractor in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 8, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.