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

PROACTIVE MD NM, LLC
NPI 1205416732
Clinic/Center - Primary Care in Artesia, NM

Active since April 09, 2021
1107 E. MAIN ST., ARTESIA, NM 88210(864) 501-0751 Get Directions Write a Review

NPPES record last updated: August 31, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Aug 31, 2026, Apr 9, 2021 (2 updates tracked since 2021).

About Proactive Md Nm, Llc NPPES

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

PROACTIVE MD NM, LLC (NPI 1205416732) is a healthcare organization registered as a primary care in Artesia, New Mexico and active in the NPI registry since April 2021. The organization lists Mark Allen Kemble, Chief Medical Officer, as its authorized official.

NPPES Registry Identity

NPI1205416732
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NamePROACTIVE MD NM, LLC
Location Address1107 E. MAIN ST.Artesia, NM 88210
Mailing Address86 Villa Rd Ste 100Greenville, SC 29615-3052 · (864) 640-8355
Phone(864) 501-0751
Organization SubpartNo
Authorized OfficialMark Allen KembleChief Medical Officer · (864) 640-8355
Enumeration DateApril 9, 2021
Last NPPES UpdateAugust 31, 20262 updates tracked since enumeration
NPPES CertifiedAugust 31, 2026
✔ NPI 1205416732 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
1107 E. MAIN ST., Artesia, NM 88210
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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 Nm, LLC's NPI number?

The NPI number for Proactive MD Nm, LLC is 1205416732. It was assigned to this organization in the NPPES registry on April 9, 2021.

Where is Proactive MD Nm, LLC located?

Proactive MD Nm, LLC is located at 1107 E. Main St., Artesia, NM 88210. The listed phone number is (864) 501-0751.

What is Proactive MD Nm, LLC'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 Nm, LLC was last updated on August 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 29 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.