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

Dr. Samantha Lavengood Boucher, DC

Individual provider Chiropractor · NPI 1760827091

Dr. Samantha Lavengood Boucher, DC is a Chiropractic in Hiram, Georgia. Qualified in 2013, 13 years ago. Accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
13
Licensed in
GA
In the registry since
2013
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.

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Practice location Address checks out

45 Darbys Crossing Dr Ste 121
Hiram, GA 30141-6052
Phone: (770) 693-9757
Fax: (678) 606-2747
Show map & directions

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

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence CHIR009132 (GA)

Record details

NPI number1760827091
Entity typeIndividual (Type 1)
GenderFemale
Credentials DC
Sole proprietorNo
NPI enumeratedApril 30, 2013
Last updated in NPPESJanuary 27, 2024
Certification dateJanuary 27, 2024

Medicare enrollment

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

Medicare specialtyCHIROPRACTIC
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Hiram