DR. KENNETH FRANK BOSCHER DC
NPI 1558425348
Chiropractor in Conyers, GA

Active since December 19, 2006Accepts Medicare Assignment
2365 WALL ST SE STE 120, CONYERS, GA 30013(770) 922-8187(770) 922-9107 Get Directions Write a Review

NPPES record last updated: June 2, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Kenneth Frank Boscher Dc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KENNETH FRANK BOSCHER DC (NPI 1558425348) is an individual chiropractor in Conyers, Georgia, licensed in Georgia (CHIR005124) and active in the NPI registry since December 2006. He is a graduate of Other (1993).

NPPES Registry Identity

NPI1558425348
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. KENNETH FRANK BOSCHERCredential: DC
Location Address2365 WALL ST SE STE 120Conyers, GA 30013-2197
Mailing Address2365 Wall St Se, Suite 120Conyers, GA 30013-2197 · (770) 922-8187 · Fax (770) 922-9107
Fax(770) 922-9107
Sole ProprietorYes
Medical School CMSOtherGraduated 1993
Enumeration DateDecember 19, 2006
Last NPPES UpdateJune 2, 2023
NPPES CertifiedJune 2, 2023
✔ NPI 1558425348 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in GA · CHIR005124
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
2365 WALL ST SE STE 120, Conyers, GA 30013

Other Identifiers 1

Other1194100370Group Npi

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Kenneth Frank Boscher Dc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5193980407
PECOS Enrollment IDI20120711000167

Medicare Billing Reassignment

Medicare enrollment records show Kenneth Boscher reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Chiropractor
2365 WALL ST. SUITE 120
Conyers, GA 30013
  • Reassigned Medicare billing, Georgia enrollment

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 Kenneth Boscher's NPI number?

The NPI number for Kenneth Boscher is 1558425348. It was assigned to this individual provider in the NPPES registry on December 19, 2006.

Where is Kenneth Boscher located?

Kenneth Boscher practices at 2365 Wall St SE Ste 120, Conyers, GA 30013. The listed phone number is (770) 922-8187.

What is Kenneth Boscher's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Kenneth Boscher enrolled in Medicare?

Yes. Kenneth Boscher is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Kenneth Boscher's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kenneth Boscher reassigns Medicare benefits to Boscher Enterprises Inc (Conyers, GA). The 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 Kenneth Boscher's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kenneth Boscher accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 2 other insurers list Kenneth Boscher as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kenneth Boscher was last updated on June 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.