Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Angela Hayes-Boucher, DO

Individual provider Family Medicine Physician · NPI 1124017611

Dr. Angela Hayes-Boucher, DO is a Family Practice in Marietta, Georgia. Graduated from Oklahoma State University College of Osteopathic Medicine in 1999, 27 years ago. Practices with Wellstreet of Georgia PC, a 431-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
27
Trained at
Oklahoma State University College of Osteopathic Medicine
Licensed in
GA
In the registry since
2005
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

3120 Johnson Ferry Rd
Marietta, GA 30062-5657
Phone: (770) 835-4741
Fax: (678) 401-6672
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 050762 (GA)

Record details

NPI number1124017611
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedOctober 18, 2005
Last updated in NPPESOctober 6, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOKLAHOMA STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 1999 (27 years in practice)
Group practice Wellstreet Of Georgia Pc — 431 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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