Skip to content
NPISignal

Individual Healthcare Provider

Jacquelyn Greiner Booher, D.O.

NPI Record: ActiveUrology
NPI1275069890
Myrtle Beach, South Carolina

Provider's NPPES record last updated: April 30, 2026

Overview

Entity Type
Individual Healthcare Provider
NPI
1275069890
Primary Specialty
Urology
Practice Location
Myrtle Beach, South Carolina
Sole Proprietor
Yes

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 21, 2026, 2:26 PM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Urology

    Allopathic & Osteopathic Physicians

    Primary

    A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

    Taxonomy code 208800000X

Provider-Reported License Information

Urology (South Carolina)
91295
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

823 82nd Pkwy

Myrtle Beach, South Carolina 29572-4607

Phone: (843) 449-1010

Additional Practice Location

1255 Tadlock Dr

Murrells Inlet, South Carolina 29576-7973

Phone: (843) 293-0446

Fax: (843) 293-0448

Additional Practice Location

309 Hinson Dr

Myrtle Beach, South Carolina 29579-4435

Phone: (843) 236-4949

Fax: (843) 236-4746

Additional Practice Location

135 Professional Park Dr

Conway, South Carolina 29526-9261

Phone: (843) 347-8765

Fax: (843) 236-4746

Additional Practice Location

3600 Sea Mountain Hwy Ste D

Little River, South Carolina 29566-8161

Phone: (843) 399-8930

Fax: (843) 399-8932

Additional Practice Location

809 82nd Pkwy Ste B

Myrtle Beach, South Carolina 29572-4607

Phone: (843) 449-1010

Fax: (843) 497-6171

Record Information

Enumeration Date
May 2, 2017
Provider's NPPES Record Last Updated
April 30, 2026
Certification Date
April 30, 2026
NPISignal NPPES Dataset
August 2026

See Something Wrong?

Incorrect provider information

Everything on this page comes directly from the NPPES data CMS publishes. NPISignal cannot edit a provider's record — only the provider or organization can, directly through NPPES.

Update a record through NPPES

Something wrong with this page?

If NPISignal is displaying this data incorrectly — a formatting error, a broken link, a mismatch with the source file — let us know.

Report a display issue