Organization Active NPI

Grant Chiropractic of Blue Ridge, PC

  • Chiropractor
  • Blue Ridge, GA
National Provider Identifier
1336406487
Registry record updated Jun 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
003032 Issued in GA
Legal business name
GRANT CHIROPRACTIC OF BLUE RIDGE, PC
Practice address
2710 E First St
Blue Ridge, GA 30513-4510
Phone
(706) 632-6574
Fax
(706) 632-6527
NPI assigned
Apr 13, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2025

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

Authorized official

Name
Mrs. John Robert Grant, D.C.NPI 1659353951
Title
Owner
Phone
(706) 632-6574

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 003032 GA Primary

Addresses

Primary practice location

2710 E First St
Blue Ridge, GA 30513-4510

Mailing address

2710 E First St
Blue Ridge, GA 30513-4510
Phone (706) 632-6574

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120725000968 GA Part B Supplier - Clinic/Group Practice 8426214081 Receives reassigned benefits from 2 practitioners
Practice locations: Blue Ridge, GA

National Provider Directory

National Provider Directory

Locations

2710 E First St
Blue Ridge, GA 30513
Phone (706) 632-6574

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1334275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749513600000",
    "number": "1336406487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2710 E FIRST ST",
            "city": "BLUE RIDGE",
            "state": "GA",
            "postal_code": "305134510",
            "telephone_number": "706-632-6574",
            "fax_number": "706-632-6527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2710 E FIRST ST",
            "city": "BLUE RIDGE",
            "state": "GA",
            "postal_code": "305134510",
            "telephone_number": "706-632-6574",
            "fax_number": "706-632-6527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANT CHIROPRACTIC OF BLUE RIDGE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-13",
        "last_updated": "2025-06-10",
        "certification_date": "2025-06-10",
        "status": "A",
        "authorized_official_last_name": "GRANT",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-632-6574",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "003032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blue Ridge, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.