BOUCHER FAMILY CHIROPRACTIC, LLC
NPI 1073959227
Chiropractor in Hiram, GA
About Boucher Family Chiropractic, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BOUCHER FAMILY CHIROPRACTIC, LLC (NPI 1073959227) is a healthcare organization registered as a chiropractor in Hiram, Georgia and active in the NPI registry since May 2013. The organization lists Samantha Lavengood Boucher, Chiropractor, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Boucher Family Chiropractic, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Boucher Family Chiropractic, LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Boucher Family Chiropractic, LLC's NPI number?
The NPI number for Boucher Family Chiropractic, LLC is 1073959227. It was assigned to this organization in the NPPES registry on May 15, 2013.
Where is Boucher Family Chiropractic, LLC located?
Boucher Family Chiropractic, LLC is located at 5447 Powder Springs Dallas Rd SW, Hiram, GA 30141. The listed phone number is (770) 943-6262.
What is Boucher Family Chiropractic, LLC's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Boucher Family Chiropractic, LLC enrolled in Medicare?
Yes. Boucher Family Chiropractic, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Boucher Family Chiropractic, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Boucher Family Chiropractic, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Boucher Family Chiropractic, LLC was last updated on March 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Boucher Family Chiropractic, Llc · NPI 1073959227
Chiropractor organization in Hiram, Georgia. Organization record, active in the CMS NPPES registry since May 15, 2013.
## Identity
- **NPI:** 1073959227 (Entity type: Organization)
- **Enumerated:** May 15, 2013
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **Organization subpart:** No
- **Authorized official:** Samantha Boucher, CHIROPRACTOR
## Practice location
- **Address:** 5447 POWDER SPRINGS DALLAS RD SW, Hiram, GA 30141-6303
- **Phone:** (770) 943-6262
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Chiropractic) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 4, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1073959227) · Data from the CMS NPPES public registry.