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PROACTIVE MD NC, PC
NPI 1013518166
Family Medicine in Conover, NC

Active since November 05, 2020CLIA 42D2299191 · Waiver
1220 COMMERCE ST SW STE J, CONOVER, NC 28613(828) 282-2280(828) 282-2278 Get Directions Write a Review

NPPES record last updated: April 10, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 10, 2025, Nov 22, 2024, Feb 3, 2021 and 1 more (4 updates tracked since 2020).

About Proactive Md Nc, Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PROACTIVE MD NC, PC (NPI 1013518166), doing business as Lee Industries Health Center, is a healthcare organization registered as a family medicine in Conover, North Carolina and active in the NPI registry since November 2020. The organization holds a CLIA Waiver certificate valid through February 14, 2028 and lists Mark Kemble, Cmo, as its authorized official.

NPPES Registry Identity

NPI1013518166
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePROACTIVE MD NC, PC
Location Address1220 COMMERCE ST SW STE JConover, NC 28613-8257
Mailing Address10 Centimeters DrMauldin, SC 29662-3278 · (864) 501-0751
Phone(828) 282-2280
Fax(828) 282-2278
Organization SubpartNo
Authorized OfficialMark KembleCmo · (864) 501-0751
Enumeration DateNovember 5, 2020
Last NPPES UpdateApril 10, 20254 updates tracked since enumeration
NPPES CertifiedApril 10, 2025
✔ NPI 1013518166 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X
1220 COMMERCE ST SW STE J, Conover, NC 28613
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Other Names 1

Doing Business AsLee Industries Health Center

Other Identifiers 1

Other1831661917IN · Provider Npi

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 42D2299191

Proactive MD Florence · Florence, SC
Active · expires Feb 14, 2028
CLIA Number42D2299191
Laboratory TypePractitioner Other
Certificate Effective DateFebruary 15, 2026
Certificate Expiration DateFebruary 14, 2028
Laboratory DirectorDr. Shawn Charest
Laboratory Phone(864) 501-0751
Laboratory LocationProactive MD Florence1520 B American Drive, Florence, SC 29505
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Proactive MD Nc, PC's NPI number?

The NPI number for Proactive MD Nc, PC is 1013518166. It was assigned to this organization in the NPPES registry on November 5, 2020. The provider is doing business as Lee Industries Health Center.

Where is Proactive MD Nc, PC located?

Proactive MD Nc, PC is located at 1220 Commerce St SW Ste J, Conover, NC 28613. The listed phone number is (828) 282-2280.

What is Proactive MD Nc, PC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Proactive MD Nc, PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 42D2299191) is associated with this NPI, valid through February 14, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Proactive MD Nc, PC was last updated on April 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.