Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

PROACTIVE MD NC, PC
NPI 1154036713
Clinic/Center - Primary Care in Mocksville, NC

Active since January 18, 2023
251 EATON RD, MOCKSVILLE, NC 27028(864) 501-0751 Get Directions Write a Review

NPPES record last updated: June 29, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 10, 2025, Jan 18, 2023 (2 updates tracked since 2023).

About Proactive Md Nc, Pc NPPES

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

PROACTIVE MD NC, PC (NPI 1154036713), doing business as Proactive Md - Brakebush Health Center - Mocksville, is a healthcare organization registered as a primary care in Mocksville, North Carolina and active in the NPI registry since January 2023. The organization lists Mark Allen Kemble, Cmo, as its authorized official.

NPPES Registry Identity

NPI1154036713
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NamePROACTIVE MD NC, PC
Location Address251 EATON RDMocksville, NC 27028-8653
Mailing Address86 Villa Rd Ste 100Greenville, SC 29615-3052 · (864) 501-0751
Organization SubpartNo
Authorized OfficialMark Allen KembleCmo · (864) 640-8355
Enumeration DateJanuary 18, 2023
Last NPPES UpdateJune 29, 20262 updates tracked since enumeration
NPPES CertifiedJune 29, 2026
NPI 1154036713 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
251 EATON RD, Mocksville, NC 27028

Other Names 1

Doing Business AsProactive Md - Brakebush Health Center - Mocksville

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 1154036713. It was assigned to this organization in the NPPES registry on January 18, 2023. The provider is doing business as Proactive MD - Brakebush Health Center - Mocksville.

Where is Proactive MD Nc, PC located?

Proactive MD Nc, PC is located at 251 Eaton Rd, Mocksville, NC 27028. The listed phone number is (864) 501-0751.

What is Proactive MD Nc, PC's specialty?

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

When was this NPI record last updated?

The NPPES record for Proactive MD Nc, PC was last updated on June 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 39 days 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.