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TEONDRA SHANTAY MCGRUDER
NPI 1407320492
Specialist - Prosthetics Case Management in Louisville, GA

Active since January 14, 2019
1032 LAKEVIEW ST, LOUISVILLE, GA 30434(478) 206-2864 Get Directions Write a Review

NPPES record last updated: January 14, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Teondra Shantay Mcgruder NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TEONDRA SHANTAY MCGRUDER (NPI 1407320492) is an individual prosthetics case management provider in Louisville, Georgia, licensed in Georgia (CO131457) and active in the NPI registry since January 2019.

NPPES Registry Identity

NPI1407320492
Entity TypeIndividualFemale
Primary Taxonomy1744P3200X
Provider Legal NameTEONDRA SHANTAY MCGRUDER
Location Address1032 LAKEVIEW STLouisville, GA 30434-5963
Mailing Address1032 Lakeview StLouisville, GA 30434-5963 · (478) 206-2864
Phone(478) 206-2864
Sole ProprietorYes
Enumeration DateJanuary 14, 2019
✔ NPI 1407320492 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist · Prosthetics Case ManagementOther Service Providers
Taxonomy Code1744P3200X
License✔ Licensed in GA · CO131457
Definition
Under the Other Service Providers; Specialist the Prosthetics Case Management definition changed to: A case manager who provides services for patients with prosthetics.
1032 LAKEVIEW ST, Louisville, GA 30434
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Teondra Mcgruder's NPI number?

The NPI number for Teondra Mcgruder is 1407320492. It was assigned to this individual provider in the NPPES registry on January 14, 2019.

Where is Teondra Mcgruder located?

Teondra Mcgruder practices at 1032 Lakeview St, Louisville, GA 30434. The listed phone number is (478) 206-2864.

What is Teondra Mcgruder's specialty?

The primary specialty registered for this NPI is Specialist, specializing in Prosthetics Case Management, with taxonomy code 1744P3200X.

When was this NPI record last updated?

The NPPES record for Teondra Mcgruder was last updated on January 14, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.