Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Misti Dawn Booher, PA

Individual provider Physician Assistant · NPI 1992572556

Misti Dawn Booher, PA is a Physician Assistant in Lexington, South Carolina. Qualified in 2023, 3 years ago. Practices with Csp Enterprises LLC, a 12-clinician group and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
3
Licensed in
SC
In the registry since
2023
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

321 S Lake Dr
Lexington, SC 29072-3447
Phone: (646) 350-3768
Fax: (864) 442-6848
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5167 (SC)

Record details

NPI number1992572556
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedDecember 5, 2023
Last updated in NPPESMay 2, 2025
Certification dateMay 2, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Csp Enterprises Llc — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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