Individual provider Active NPI

Bryanna Mauk

  • Family Nurse Practitioner
  • Greenville, SC
National Provider Identifier
1043016546
Registry record updated Jun 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
30028 Issued in SC
Practice address
775 Woodruff Rd Ste 2a
Greenville, SC 29607-3558
Phone
(803) 999-1750
NPI assigned
Feb 24, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 30028 SC Primary

Addresses

Primary practice location

775 Woodruff Rd Ste 2a
Greenville, SC 29607-3558

Mailing address

775 Woodruff Rd Ste 2a
Greenville, SC 29607-3558
Phone (864) 546-0545

Other practice location 1

3516 S Live Oak Dr Unit C
Moncks Corner, SC 29461-8762
Phone (803) 999-1750

Other practice location 2

112 Saluda Ridge Ct Ste 200
West Columbia, SC 29169-3461
Phone (803) 999-1750

Other practice location 3

106 Lansford Ct
Myrtle Beach, SC 29588-3501
Phone (803) 999-1750

Other practice location 4

4995 LaCross Rd Ste 1200A
North Charleston, SC 29406-6542
Phone (803) 999-1750

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251210001175 SC Practitioner - Nurse Practitioner 5991299745 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Onsite Healthcare and Wellness LLCGroup PAC ID 6800141631, 28 clinicians

Practice addresses (Care Compare)

105 Franklin Square Way
Suite a
Easley, SC 29642-3715
Phone (864) 442-4110

Hospital & facility affiliations

  • Interim Healthcare of the Upstate Home health agency, Greenville, SC, CCN 427015

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30028SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Onsite Healthcare and Wellness LLC CurrentSince Sep 15, 2025 Accepting new patients
Intramed Plus Infusion & Medical Center, LLC CurrentSince Jun 8, 2026 Accepting new patients
Onsite Medical Solutions SC Coastal LLC CurrentSince Sep 15, 2025 Accepting new patients
Onsite Medical Solutions SC Upstate LLC CurrentSince Sep 15, 2025 Accepting new patients
The Pediatric Center PastSince Mar 11, 2025 Accepting new patients

Locations

105 Franklin Square Way
#A
Easley, SC 29642
Phone (864) 442-4019

775 Woodruff Rd
Ste 2A
Greenville, SC 29607

775 Woodruff Rd
Ste A2
Greenville, SC 29607
Phone (864) 281-1553

112 Saluda Ridge Ct
Ste 200
West Columbia, SC 29169
Phone (803) 358-0158

Organizations & group practices 5

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

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1740355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782172800000",
    "number": "1043016546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "775 WOODRUFF RD STE 2A",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296073558",
            "telephone_number": "864-546-0545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "775 WOODRUFF RD STE 2A",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296073558",
            "telephone_number": "803-999-1750"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3516 S Live Oak Dr Unit C",
            "address_purpose": "LOCATION",
            "city": "Moncks Corner",
            "state": "SC",
            "postal_code": "294618762",
            "country_code": "US",
            "telephone_number": "803-999-1750",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "112 Saluda Ridge Ct Ste 200",
            "address_purpose": "LOCATION",
            "city": "West Columbia",
            "state": "SC",
            "postal_code": "291693461",
            "country_code": "US",
            "telephone_number": "803-999-1750",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "106 Lansford Ct",
            "address_purpose": "LOCATION",
            "city": "Myrtle Beach",
            "state": "SC",
            "postal_code": "295883501",
            "country_code": "US",
            "telephone_number": "803-999-1750",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4995 LaCross Rd Ste 1200A",
            "address_purpose": "LOCATION",
            "city": "North Charleston",
            "state": "SC",
            "postal_code": "294066542",
            "country_code": "US",
            "telephone_number": "803-999-1750",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAUK",
        "first_name": "BRYANNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-24",
        "last_updated": "2026-06-23",
        "certification_date": "2026-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "30028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

Verify at the official NPI Registry.