Misti Dawn Booher, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

5167 Issued in SC

Practice address

321 S Lake Dr
Lexington, SC 29072-3447

Phone

(646) 350-3768

Fax

(864) 442-6848

NPI assigned

Dec 5, 2023

Last updated

May 2, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

CSP Enterprises LLCGroup PAC ID 3072949320, 12 clinicians

Pain Medicine Specialists PAGroup PAC ID 6709217383, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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.

• CSP Enterprises LLC

  dba Carolina Spine and Pain Associates

  • Pain Medicine Physician
  • Easley, SC
  • NPI 1821637760
  Medicare reassignment Care Compare group
• Pain Medicine Specialists, PA

  dba Dr Gisele J Girault, MD - Pain Medicine Specialists

  • Interventional Pain Medicine Physician
  • West Columbia, SC
  • NPI 1679118657
  Medicare reassignment Care Compare group
• SNF Wound Care

  • Internal Medicine Physician
  • Los Angeles, CA
  • NPI 1114393311

  SC

  Medicare reassignment NPD
• Novant Health Urgent Cares LLC

  dba Novant Health Urgent Care

  • Urgent Care Clinic/Center
  • Anderson, SC
  • NPI 1841026382
  Medicare reassignment
• Carolina Spine Pain LLC

  • Pain Medicine Physician
  • Easley, SC
  • NPI 1447918230
  NPD
• Palmetto Orthopaedic Clinic, PA

  • Orthopaedic Surgery Physician
  • Columbia, SC
  • NPI 1841291127
  NPD (past)

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

{
    "created_epoch": "1701734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746144000000",
    "number": "1992572556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1315",
            "city": "EASLEY",
            "state": "SC",
            "postal_code": "296411315",
            "telephone_number": "864-635-0376",
            "fax_number": "864-442-6848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 S LAKE DR",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290723447",
            "telephone_number": "646-350-3768",
            "fax_number": "864-442-6848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOOHER",
        "first_name": "MISTI",
        "middle_name": "DAWN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-05",
        "last_updated": "2025-05-02",
        "certification_date": "2025-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "5167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Patrick Boltin
• Hannah Bolton
• Debra E. Bonaparte, MSW, LMSW
• Stephanie Bonnett, LPC-A
• Julia Bonnette, MA-SLP
• Alexis Jayne Boso, PHARMD
• Alexandra Falkson Bothma, PT
• Maya Nassim Bougebrayel
• Colby Kalee Bounds-Sellers, FNP
• Victoria Bourdon, LMSW

• Physician Assistant in Lexington, SC
• Providers in Lexington, SC by specialty
• Physician Assistant in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.