PROACTIVE MD SC,P.A.
NPI 1083433130
Clinic/Center - Primary Care in Columbia, SC

Active since October 07, 2024
4101 PERCIVAL RD, COLUMBIA, SC 29229(864) 501-0751 Get Directions Write a Review

NPPES record last updated: April 3, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 3, 2025, Nov 22, 2024, Oct 7, 2024 (3 updates tracked since 2024).

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 1083433130), doing business as Proactive Md Percival, is a healthcare organization registered as a primary care in Columbia, South Carolina and active in the NPI registry since October 2024. The organization lists Mark Allen Kemble, Cmo, as its authorized official.

NPPES Registry Identity

NPI1083433130
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NamePROACTIVE MD SC,P.A.
Location Address4101 PERCIVAL RDColumbia, SC 29229-8320
Mailing Address124 Allawood CtSimpsonville, SC 29681-6207 · (864) 501-0751
Organization SubpartNo
Authorized OfficialMark Allen KembleCmo · (864) 501-0751
Enumeration DateOctober 7, 2024
Last NPPES UpdateApril 3, 20253 updates tracked since enumeration
NPPES CertifiedApril 3, 2025
NPI 1083433130 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
4101 PERCIVAL RD, Columbia, SC 29229

Other Names 1

Doing Business AsProactive Md Percival

Accepted Insurance

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Ophthalmology
4101 PERCIVAL RD
COLUMBIA, SC 29229
Social Worker (Clinical)
4101 PERCIVAL RD
COLUMBIA, SC 29229
Case Management
4101 PERCIVAL RD
COLUMBIA, SC 29229
Registered Nurse (Case Management)
4101 PERCIVAL RD
COLUMBIA, SC 29229
Registered Nurse (Case Management)
4101 PERCIVAL RD
COLUMBIA, SC 29229
Registered Nurse (Case Management)
4101 PERCIVAL RD
COLUMBIA, SC 29229
Family Medicine
4101 PERCIVAL RD
COLUMBIA, SC 29229

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 1083433130. It was assigned to this organization in the NPPES registry on October 7, 2024. The provider is doing business as Proactive MD Percival.

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

Proactive MD Sc,p.A. is located at 4101 Percival Rd, Columbia, SC 29229. The listed phone number is (864) 501-0751.

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

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

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.