DR. SAMANTHA LAVENGOOD BOUCHER (NPI# 1760827091) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760827091 |
| Entity Type | Individual |
| Full Name | DR. SAMANTHA LAVENGOOD BOUCHER |
| Credential | D.C. |
| Practice Address |
5447 Powder Springs Dallas Rd Sw Hiram GA 30141-6303 |
| Practice Telephone | 6788986680 |
| Mailing Telephone | 6788966680 |
| Enumeration Date | 2013-04-30 |
| Last Update Date | 2013-05-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | CHIR009132 | GA | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518479641 | Samantha Boucher | Physician Assistant | 345 23rd Ave N, Nashville, TN 37203 | 2017-10-30 |
| Street Address |
5447 POWDER SPRINGS DALLAS RD SW |
| City | HIRAM |
| State | GA |
| Zip Code | 30141-6303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184946204 | Matthew P Schooley | Chiropractor | 5447 Powder Springs Dallas Rd Sw, Hiram, GA 30141-6303 | 2010-02-16 |
| 1073959227 | Boucher Family Chiropractic, LLC | Chiropractor | 5447 Powder Springs Dallas Rd Sw, Hiram, GA 30141-6303 | 2013-05-15 |
| 1811272859 | Two Hands Chiropractic LLC | Chiropractor | 5447 Powder Springs Dallas Rd Sw, Hiram, GA 30141-6303 | 2011-10-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801255690 | Belinda Lett Baker | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5316 Jones Reserve Walk, Hiram, GA 30141 | 2016-02-22 |
| 1104213339 | Matthew Lee Estes | Nurse Practitioner | 148 Bill Carruth Pkwy Ste 220, Hiram, GA 30141 | 2015-04-26 |
| 1881088649 | Marietta Eye Clinic, Pa | Optometrist | 47 Highland Pavilion Ct, Suite 101, Hiram, GA 30141 | 2015-03-19 |
| 1902217417 | Hiram Dental Group, PC | Dentist | 5218 Jimmy Lee Smith Parkway, Suite 100, Hiram, GA 30141 | 2014-05-19 |
| 1912340613 | Anuj Patel | Orthopaedic Surgery | 148 Bill Carruth Parkway Suite 120, Hiram, GA 30141 | 2013-04-11 |
| 1619280278 | Thomas Wayne Bloodworth | Obstetrics & Gynecology | 6794 Bill Carruth Parkway, Hiram, GA 30141 | 2010-07-23 |
| 1487970026 | Madelynn Lorraine Speach | Counselor | 44 Darbys Crossing Dr Ste 206c, Hiram, GA 30141 | 2010-04-07 |
| 1679760433 | We Care Md, P.C. | Family Medicine | 5610 Wendy Bagwell Parkway, Suite 103, Hiram, GA 30141 | 2007-09-26 |
| 1811188121 | Holly L Watson | Nurse Practitioner | 156 Hiram Drive, Building B, Hiram, GA 30141 | 2007-08-05 |
| 1285842799 | Restoration Physical Therapy, LLC. | Clinic/Center | 5077 Jimmy Lee Smith Pkwy, Suite 119, Hiram, GA 30141 | 2007-05-18 |
| Find all providers in zip 30141 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962043091 | Baley M White | Chiropractor | 76 Highland Pavilion Ct Ste 161, Hiram, GA 30141-3170 | 2019-09-30 |
| 1710407796 | Daniel Marti | Chiropractor | 44 Darbys Crossing Dr Ste 212, Hiram, GA 30141-6008 | 2017-06-21 |
| 1982010732 | Optimum Health Rehab of Hiram LLC | Chiropractor | 47 Highland Pavilion Ct Ste 102, Hiram, GA 30141-4119 | 2014-07-01 |
| 1386919769 | Lisa Fetherolf | Chiropractor | 44 Darbys Crossing Dr Ste 102a, Hiram, GA 30141-6040 | 2012-03-18 |
| 1184946204 | Matthew P Schooley | Chiropractor | 5447 Powder Springs Dallas Rd Sw, Hiram, GA 30141-6303 | 2010-02-16 |
| 1184843799 | Jordan Scott Haugh | Chiropractor | 3655 Macland Rd, Suite C, Hiram, GA 30141-2226 | 2007-04-24 |
| 1649499377 | Charles Christopher Jakubczak | Chiropractor | 5745 Wendy Bagwell Pkwy, Suite 26, Hiram, GA 30141-2815 | 2007-04-24 |
| 1194867630 | Vodas Chiropractic Cl PC | Chiropractor | 3968 Jl Smith Pkwy, Ste 106, Hiram, GA 30141-2636 | 2007-02-13 |
| 1336289347 | Phillip G Vodas | Chiropractor | 3968 Jimmy Lee Smith Pkwy, 106, Hiram, GA 30141-2636 | 2007-02-07 |
| 1053490292 | Jay Mark Goldklang | Chiropractor | 4345 Atlanta Hwy, Hiram, GA 30141-1827 | 2006-11-06 |
| Find all providers in HIRAM | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.