PROACTIVE MD SC,P.A.
NPI 1033716253
Family Medicine in Spartanburg, SC

Q: What is Proactive MD Sc,p.A.'s NPI number?

The NPI number for Proactive MD Sc,p.A. is 1033716253. It was assigned to this organization in the NPPES registry on October 1, 2020. The provider is doing business as Proactive MD Tindall Spartanburg Health Center.

Q: What is Proactive MD Sc,p.A.'s specialty?

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

Active since October 01, 2020CLIA 10D2304983 · Waiver

2273 HAYNE ST., SPARTANBURG, SC 29301(864) 541-0555(864) 345-7898 Get Directions Write a Review

NPPES record last updated: April 3, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 3, 2025, Oct 1, 2020 (2 updates tracked since 2020).

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About Proactive Md Sc,p.a. NPPES

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

PROACTIVE MD SC,P.A. (NPI 1033716253), doing business as Proactive Md Tindall Spartanburg Health Center, is a healthcare organization registered as a family medicine in Spartanburg, South Carolina and active in the NPI registry since October 2020. The organization holds a CLIA Waiver certificate valid through May 21, 2028 and lists Mark Allen Kemble, Cmo, as its authorized official.

NPPES Registry Identity

NPI1033716253

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NamePROACTIVE MD SC,P.A.

Location Address2273 HAYNE ST.Spartanburg, SC 29301

Mailing Address10 Centimeters DrMauldin, SC 29662-3278

Phone(864) 541-0555

Fax(864) 345-7898

Organization SubpartNo

Authorized OfficialMark Allen KembleCmo · (864) 501-0751

Enumeration DateOctober 1, 2020

Last NPPES UpdateApril 3, 20252 updates tracked since enumeration

NPPES CertifiedApril 1, 2025

✔ NPI 1033716253 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

2273 HAYNE ST., Spartanburg, SC 29301

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Other Names 1

Doing Business AsProactive Md Tindall Spartanburg Health Center

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include InStil Health.Insurance ›

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 10D2304983

Proactive MD Fl LLC · Vero Beach, FL

Active · expires May 21, 2028

CLIA Number10D2304983

Laboratory TypePractitioner Other

Certificate Effective DateMay 22, 2026

Certificate Expiration DateMay 21, 2028

Laboratory DirectorRaquelle Ministre

Laboratory Phone(864) 501-0751

Laboratory LocationProactive MD Fl LLC5245 41st Street, Vero Beach, FL 32966

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 Sc,p.A.'s NPI number?

The NPI number for Proactive MD Sc,p.A. is 1033716253. It was assigned to this organization in the NPPES registry on October 1, 2020. The provider is doing business as Proactive MD Tindall Spartanburg Health Center.

Where is Proactive MD Sc,p.A. located?

Proactive MD Sc,p.A. is located at 2273 Hayne St., Spartanburg, SC 29301. The listed phone number is (864) 541-0555.

What is Proactive MD Sc,p.A.'s specialty?

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

Does Proactive MD Sc,p.A. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2304983) is associated with this NPI, valid through May 21, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Proactive MD Sc,p.A. accept?

Health plans from InStil Health list Proactive MD Sc,p.A. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Proactive MD Sc,p.A. was last updated on April 3, 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.