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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

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

Active since January 14, 2019
1755 GORDON HWY STE A, AUGUSTA, GA 30904(478) 206-2864 Get Directions Write a Review

NPPES record last updated: October 29, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 29, 2026, Jan 14, 2019 (2 updates tracked since 2019).

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 Augusta, 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 Address1755 GORDON HWY STE AAugusta, GA 30904-5131
Mailing Address1755 Gordon Hwy Ste AAugusta, GA 30904-5131 · (478) 206-2864
Phone(478) 206-2864
Sole ProprietorYes
Enumeration DateJanuary 14, 2019
Last NPPES UpdateOctober 29, 20262 updates tracked since enumeration
NPPES CertifiedOctober 29, 2026
✔ 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.
1755 GORDON HWY STE A, Augusta, GA 30904
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TRANSFORMATION HAIR SOLUTIONS
Specialist (Prosthetics Case Management)
1755 GORDON HWY STE A
AUGUSTA, GA 30904
Richmond County (478) 206-2684

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 1755 Gordon Hwy Ste A, Augusta, GA 30904. 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 October 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 days 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.