Individual provider Active NPI

Jacquelyn Greiner Booher, D.O.

  • Urology Physician
  • Myrtle Beach, SC
National Provider Identifier
1275069890
Registry record updated Apr 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
91295 Issued in SC
Practice address
823 82ND Pkwy
Myrtle Beach, SC 29572-4607
Phone
(843) 449-1010
Fax
(843) 497-6171
NPI assigned
May 2, 2017
Last updated
Apr 30, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 91295 SC Primary

Addresses

Primary practice location

823 82ND Pkwy
Myrtle Beach, SC 29572-4607

Mailing address

823 82ND Pkwy
Myrtle Beach, SC 29572-4607
Phone (843) 449-1010

Other practice location 1

1255 Tadlock Dr
Murrells Inlet, SC 29576-7973
Phone (843) 293-0446

Other practice location 2

309 Hinson Dr
Myrtle Beach, SC 29579-4435
Phone (843) 236-4949

Other practice location 3

135 Professional Park Dr
Conway, SC 29526-9261
Phone (843) 347-8765

Other practice location 4

3600 Sea Mountain Hwy Ste D
Little River, SC 29566-8161
Phone (843) 399-8930

Other practice location 5

809 82nd Pkwy Ste B
Myrtle Beach, SC 29572-4607
Phone (843) 449-1010

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241121003478 SC Practitioner - Urology 6103218581 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Campbell Univ School of Osteopathic Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Auc Urologists LLCGroup PAC ID 3375986953, 29 clinicians

Practice addresses (Care Compare)

823 82ND Pkwy
Myrtle Beach, SC 29572-4607
Phone (843) 347-2450

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10
Removal of the uterus1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
91295SCMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Auc Urologists LLC Urology CurrentSince Aug 21, 2024 Accepting new patients
Atlantic Urology Clinics LLC PastSince Aug 21, 2024 Accepting new patients

Locations

135 Professional Park Dr
Conway, SC 29526
Phone (843) 347-8724

3600 Sea Mountain Hwy
Ste D
Little River, SC 29566
Phone (843) 399-8930

1255 Tadlock Dr
Murrells Inlet, SC 29576
Phone (843) 293-0446

101 McLeod Health Blvd
Ste 202
Myrtle Beach, SC 29579
Phone (843) 236-4949

309 Hinson Dr
Myrtle Beach, SC 29579
Phone (843) 236-4949

611 Burroughs and Chapin Blvd
Ste 105
Myrtle Beach, SC 29577

809 82nd Pkwy
Ste B
Myrtle Beach, SC 29572
Phone (843) 449-1010

823 82nd Pkwy
Myrtle Beach, SC 29572
Phone (843) 449-1010

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 16

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 16

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1493683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777507200000",
    "number": "1275069890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "823 82ND PKWY",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295724607",
            "telephone_number": "843-449-1010",
            "fax_number": "843-497-6171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "823 82ND PKWY",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295724607",
            "telephone_number": "843-449-1010",
            "fax_number": "843-497-6171"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1255 Tadlock Dr",
            "address_purpose": "LOCATION",
            "city": "Murrells Inlet",
            "state": "SC",
            "postal_code": "295767973",
            "country_code": "US",
            "telephone_number": "843-293-0446",
            "fax_number": "843-293-0448",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "309 Hinson Dr",
            "address_purpose": "LOCATION",
            "city": "Myrtle Beach",
            "state": "SC",
            "postal_code": "295794435",
            "country_code": "US",
            "telephone_number": "843-236-4949",
            "fax_number": "843-236-4746",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "135 Professional Park Dr",
            "address_purpose": "LOCATION",
            "city": "Conway",
            "state": "SC",
            "postal_code": "295269261",
            "country_code": "US",
            "telephone_number": "843-347-8765",
            "fax_number": "843-236-4746",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3600 Sea Mountain Hwy Ste D",
            "address_purpose": "LOCATION",
            "city": "Little River",
            "state": "SC",
            "postal_code": "295668161",
            "country_code": "US",
            "telephone_number": "843-399-8930",
            "fax_number": "843-399-8932",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "809 82nd Pkwy Ste B",
            "address_purpose": "LOCATION",
            "city": "Myrtle Beach",
            "state": "SC",
            "postal_code": "295724607",
            "country_code": "US",
            "telephone_number": "843-449-1010",
            "fax_number": "843-497-6171",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOOHER",
        "first_name": "JACQUELYN",
        "middle_name": "GREINER",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-02",
        "last_updated": "2026-04-30",
        "certification_date": "2026-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "SC",
            "license": "91295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Myrtle Beach, SC

Sources for this page

Verify at the official NPI Registry.