Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1558425348 Individual Practitioner Male Practitioner

Dr. Kenneth Frank Boscher , DC

Chiropractor • Conyers, GA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Kenneth Boscher, DC is a certified Chiropractor practicing in Conyers, GA. With approximately 33 years of clinical experience since completing medical education in 1993, Dr. Boscher delivers high-quality medical care to the local community at 2365 WALL ST SE STE 120.

Dr. Boscher accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

2365 Wall St Se Ste 120

Conyers, GA 300132197

Telephone 7709228187
Fax 7709229107
Associated Practice Facility / Clinic
🏢 Boscher Enterprises Inc Facility NPI 1194100370

Medicare Profile & Education

Medical School

Other

Graduation Year

1993

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Conyers, GA

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
33 Yrs +7.0 yrs vs City Avg
City Avg: 26.0 Yrs
State Avg: 23.4 Yrs
Regional Practice Density
30 Specialists

Practicing in Conyers, GA (3375 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Boscher (33 Years) 33 Yrs
Conyers Specialty Average (26.0 Years) 26.0 Yrs

Medical Specialties & State Licenses

CMS Verified: 2023-06-02
Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License GA CHIR005124

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Group Npi
1194100370

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
Rebekah Boscher , CNMT

Massage Therapist

NPI 1164586962
Dr. Bruce Costello , DC

Chiropractor - Rehabilitation

NPI 1184974651

Doctor of Chiropractic

Julie Frey , NCMT

Massage Therapist

NPI 1255495933
NPI 1538637921

Doctor of Chiropractic

Dr. Vincent Veneziano , DC

Chiropractor - Sports Physician

NPI 1700157831

Doctor of Chiropractic

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location June 02, 2023

Registered at 2365 WALL ST SE STE 120, CONYERS, GA 300132197 (Tel: 7709228187)

📍
Updated Business Mailing Address June 02, 2023

Registered at 2365 WALL ST SE, SUITE 120, CONYERS, GA 300132197 (Tel: 7709228187)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 2365 WALL ST SE, SUITE 100, CONYERS, GA 300132197 (Tel: 7709228187)

📍
Updated Business Mailing Address July 08, 2007

Registered at 2365 WALL ST SE, SUITE 100, CONYERS, GA 300132197 (Tel: 7709228187)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as KENNETH BOSCHER, DC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Chiropractor (License #CHIR005124 in GA)

🟢
Initial NPI Registration & Enumeration December 19, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1558425348
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 19, 2006
Last Update: June 02, 2023
Sole Proprietor: Yes

Mailing Address

2365 Wall St Se, Suite 120

Conyers, GA 300132197

Phone: 7709228187

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.