NPIMap

Individual provider Active NPI

Joseph Ryan Mazuk, DO

  • Family Medicine Physician
  • North Charleston, SC
National Provider Identifier
1447824115
Registry record updated Jan 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
93582 Issued in SC
Practice address
8992 University Blvd
North Charleston, SC 29406-8104
Phone
(843) 876-8555
NPI assigned
May 18, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 93582 SC Primary

Addresses

Primary practice location

8992 University Blvd
North Charleston, SC 29406-8104

Mailing address

PO Box 602108
Charlotte, NC 28260-2108

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address direct@direct.musc.edu Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250325003182 SC Practitioner - Family Practice 5092117440 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Philadelphia College of Osteopathic Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Carolina Family Care IncGroup PAC ID 4587557731, shared by 3 NPIs, 81 clinicians

Practice addresses (Care Compare)

8992 University Blvd
Suite 300
North Charleston, SC 29406-8104
Phone (843) 876-8555

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
93582SCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Family Care, Inc Family Medicine CurrentSince Jan 22, 2025 Accepting new patients
Carolina Family Care Inc Family Medicine CurrentSince Jan 22, 2025 Accepting new patients
Carolina Family Care, Inc Current Accepting new patients
Carolina Family Care, Inc Family Medicine CurrentSince Jan 22, 2025 Accepting new patients
Carolina Family Care, Inc Past Accepting new patients

Locations

1208 Two Island Ct
Mt Pleasant, SC 29466
Phone (843) 884-6653

8992 University Blvd
Ste 300
North Charleston, SC 29406
Phone (843) 876-8279

8992 University Blvd
North Charleston, SC 29406
Phone (843) 876-5555

8992 University Blvd
Ste 300N
North Charleston, SC 29406

Interoperability endpoints

  • Direct secure messaging: jmazuk521346@direct.musc.edu

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 7

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": "1621296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737590400000",
    "number": "1447824115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 602108",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282602108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8992 UNIVERSITY BLVD",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294068104",
            "telephone_number": "843-876-8555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAZUK",
        "first_name": "JOSEPH",
        "middle_name": "RYAN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-05-18",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "93582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "direct@direct.musc.edu",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "8992 University Blvd",
            "city": "North Charleston",
            "state": "SC",
            "country_code": "US",
            "postal_code": "294068104",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in North Charleston, SC

Sources for this page

Verify at the official NPI Registry.