PROACTIVE MD SC,P.A.
NPI 1184498628
Clinic/Center - Primary Care in Columbia, SC

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

The NPI number for Proactive MD Sc,p.A. is 1184498628. It was assigned to this organization in the NPPES registry on November 14, 2023. The provider is doing business as Proactive MD.

Q: 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.

Active since November 14, 2023

131 WILDEWOOD PARK DR, COLUMBIA, SC 29223(803) 999-4030 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, Nov 22, 2024, Sep 26, 2024 and 1 more (4 updates tracked since 2023).

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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 1184498628), doing business as Proactive Md, is a healthcare organization registered as a primary care in Columbia, South Carolina and active in the NPI registry since November 2023. The organization lists Mark Allen Kemble, Cmo, as its authorized official.

NPPES Registry Identity

NPI1184498628

Entity TypeOrganization

Primary Taxonomy261QP2300X

Legal Business NamePROACTIVE MD SC,P.A.

Location Address131 WILDEWOOD PARK DRColumbia, SC 29223-4300

Mailing Address124 Allawood CtSimpsonville, SC 29681-6207 · (864) 501-0751

Phone(803) 999-4030

Organization SubpartNo

Authorized OfficialMark Allen KembleCmo · (864) 501-0751

Enumeration DateNovember 14, 2023

Last NPPES UpdateApril 3, 20254 updates tracked since enumeration

NPPES CertifiedApril 3, 2025

✔ NPI 1184498628 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities

Taxonomy Code261QP2300X

131 WILDEWOOD PARK DR, Columbia, SC 29223

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Other Names 1

Doing Business AsProactive Md

Other Providers at the Same Location NPPES 3

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

CAROLINA FAMILY PODIATRY,LLC

Podiatrist

131 WILDEWOOD PARK DR
COLUMBIA, SC 29223

Richland County (803) 462-7040

MRS. SHARON Y MIRANTE A.P.N

Nurse Practitioner (Family)

131 WILDEWOOD PARK DR
COLUMBIA, SC 29223

Richland County (803) 999-4030

CRUDDIE L. TORIAN, SR, DPM, PA

Podiatrist

131 WILDEWOOD PARK DR
COLUMBIA, SC 29223

Richland County (803) 462-7040

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 1184498628. It was assigned to this organization in the NPPES registry on November 14, 2023. The provider is doing business as Proactive MD.

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

Proactive MD Sc,p.A. is located at 131 Wildewood Park Dr, Columbia, SC 29223. The listed phone number is (803) 999-4030.

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.

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.