Active NPI
Bryanna Mauk
- Family Nurse Practitioner
- Greenville, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 30028
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30028 | SC | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Onsite Healthcare and Wellness LLC | Current | Accepting new patients | |
| Intramed Plus Infusion & Medical Center, LLC | Current | Accepting new patients | |
| Onsite Medical Solutions SC Coastal LLC | Current | Accepting new patients | |
| Onsite Medical Solutions SC Upstate LLC | Current | Accepting new patients | |
| The Pediatric Center | Past | 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.
-
- Family Medicine Physician
- Easley, SC
- NPI 1437648904
-
- Family Medicine Physician
- Easley, SC
- NPI 1326864141
-
- Family Medicine Physician
- Easley, SC
- NPI 1457177289
-
- Clinic/Center
- West Columbia, SC
- NPI 1063053833
-
- Pediatrics Physician
- Greer, SC
- NPI 1558415844
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Greenville, SC
- NPI 1750897609
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2026; 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.