PROACTIVE MD,SC,P.A.
NPI 1235773979
Family Medicine in Mauldin, SC

Q: What is Proactive Md,sc,p.A.'s NPI number?

The NPI number for Proactive Md,sc,p.A. is 1235773979. It was assigned to this organization in the NPPES registry on November 6, 2019. The provider is doing business as Proactive MD Mauldin Health Center. The provider is also known as Proactive MD.

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 November 06, 2019

787 E BUTLER RD STE B, MAULDIN, SC 29662(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, Sep 26, 2024 and 1 more (4 updates tracked since 2019).

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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 1235773979), doing business as Proactive Md Mauldin Health Center, is a healthcare organization registered as a family medicine in Mauldin, South Carolina and active in the NPI registry since November 2019. The organization lists Mark Allen Kemble, Cmo, as its authorized official.

NPPES Registry Identity

NPI1235773979

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NamePROACTIVE MD,SC,P.A.

Location Address787 E BUTLER RD STE BMauldin, SC 29662-3276

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

Phone(864) 501-0751

Organization SubpartYes

Authorized OfficialMark Allen KembleCmo · (864) 501-0751

Enumeration DateNovember 6, 2019

Last NPPES UpdateApril 3, 20254 updates tracked since enumeration

NPPES CertifiedApril 3, 2025

✔ NPI 1235773979 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.

787 E BUTLER RD STE B, Mauldin, SC 29662

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Other Names 2

Doing Business AsProactive Md Mauldin Health Center

Other NameProactive Md

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

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 1235773979. It was assigned to this organization in the NPPES registry on November 6, 2019. The provider is doing business as Proactive MD Mauldin Health Center. The provider is also known as Proactive MD.

Where is Proactive Md,sc,p.A. located?

Proactive Md,sc,p.A. is located at 787 E Butler Rd Ste B, Mauldin, SC 29662. 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 Family Medicine with taxonomy code 207Q00000X.

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.