Individual provider Active NPI

Bryce Maughon, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Saint Marys, GA
National Provider Identifier
1164282703
Registry record updated Jan 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN286136 Issued in GA
Practice address
88 Lindsey LN Ste C
Saint Marys, GA 31558-1725
Phone
(912) 322-5791
Fax
(912) 341-6794
NPI assigned
Mar 20, 2024
Last updated
Jan 23, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN286136 GA Primary
Psychiatric/Mental Health Registered Nurse 163WP0808X RN286136 GA

Addresses

Primary practice location

88 Lindsey LN Ste C
Saint Marys, GA 31558-1725

Mailing address

88 Lindsey LN Ste C
Saint Marys, GA 31558-1725
Phone (912) 322-5791

Other practice location 1

240 Mitchell Bridge Rd
Athens, GA 30606-2043
Phone (706) 369-5745

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20260223000926 GA Practitioner - Nurse Practitioner 1557842184 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

88 Lindsey LN
Suite C
Saint Marys, GA 31558-1656

88 Lindsey LN C
Saint Marys, GA 31558-1725

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN286136GAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Camden Behavioral Wellness, Inc Psychiatric/Mental Health CurrentSince Jan 11, 2026 Accepting new patients

Locations

88 Lindsey Ln
Ste C
Saint Marys, GA 31558
Phone (912) 322-5791

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1710892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769126400000",
    "number": "1164282703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88 LINDSEY LN STE C",
            "city": "SAINT MARYS",
            "state": "GA",
            "postal_code": "315581725",
            "telephone_number": "912-322-5791",
            "fax_number": "912-341-6794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 LINDSEY LN STE C",
            "city": "SAINT MARYS",
            "state": "GA",
            "postal_code": "315581725",
            "telephone_number": "912-322-5791",
            "fax_number": "912-341-6794"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "240 Mitchell Bridge Rd",
            "address_purpose": "LOCATION",
            "city": "Athens",
            "state": "GA",
            "postal_code": "306062043",
            "country_code": "US",
            "telephone_number": "706-369-5745",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAUGHON",
        "first_name": "BRYCE",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-03-20",
        "last_updated": "2026-01-23",
        "certification_date": "2026-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "GA",
            "license": "RN286136",
            "primary": true
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "GA",
            "license": "RN286136",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Marys, GA

Sources for this page

Verify at the official NPI Registry.