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

Dr. John Randall Boutwell, DC, BCAO

Individual provider Chiropractor · NPI 1629115001

Dr. John Randall Boutwell, DC, BCAO is a Chiropractic in Augusta, Georgia. Practices with Boutwell Chiropractic Group PC, a 4-clinician group. Licensed in Georgia.

Licensed in
GA
In the registry since
2007
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.

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Practice location Address checks out

3665 Wheeler Rd Ste 2A
Augusta, GA 30909-6603
Phone: (706) 860-8717
Fax: (706) 860-1341
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence CHIR001886 (GA)

Record details

NPI number1629115001
Entity typeIndividual (Type 1)
GenderMale
Credentials DC , BCAO
Sole proprietorNo
NPI enumeratedFebruary 1, 2007
Last updated in NPPESFebruary 23, 2015

Medicare enrollment

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

Medicare specialtyCHIROPRACTIC
Medical schoolOTHER
Group practice Boutwell Chiropractic Group Pc — 4 clinicians
Accepts Medicare assignment Not indicated

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