PROACTIVE - SOUTH CENTRAL
NPI 1235775503
Clinic/Center - Primary Care in Union Mills, IN

Active since November 21, 2019CLIA 15D2182068 · Waiver
9808 S 600 W, UNION MILLS, IN 46382(812) 645-1892 Get Directions Write a Review

NPPES record last updated: November 21, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Proactive - South Central NPPES

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

PROACTIVE - SOUTH CENTRAL (NPI 1235775503) is a healthcare organization registered as a primary care in Union Mills, Indiana and active in the NPI registry since November 2019. The organization holds a CLIA Waiver certificate valid through April 14, 2028 and lists Ashley Lowe, Finance Manager, as its authorized official.

NPPES Registry Identity

NPI1235775503
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NamePROACTIVE - SOUTH CENTRAL
Location Address9808 S 600 WUnion Mills, IN 46382-9600
Mailing Address9808 S 600 WUnion Mills, IN 46382-9600 · (812) 645-1892
Organization SubpartNo
Authorized OfficialAshley LoweFinance Manager · (812) 645-1892
Enumeration DateNovember 21, 2019
NPI 1235775503 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
9808 S 600 W, Union Mills, IN 46382

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 15D2182068

Proactive MD South Central Health Center · Union Mills, IN
Active · expires Apr 14, 2028
CLIA Number15D2182068
Laboratory TypePractitioner Other
Certificate Effective DateApril 15, 2026
Certificate Expiration DateApril 14, 2028
Laboratory DirectorSandria Nixon
Laboratory Phone(574) 935-0127
Laboratory LocationProactive MD South Central Health Center9808 S 600 W, Union Mills, IN 46382
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

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.

Local Education Agency (LEA)
9808 S 600 W
UNION MILLS, IN 46382
Clinic/Center (Primary Care)
9808 S 600 W
UNION MILLS, IN 46382
Speech-Language Pathologist
9808 S 600 W
UNION MILLS, IN 46382

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 - South Central's NPI number?

The NPI number for Proactive - South Central is 1235775503. It was assigned to this organization in the NPPES registry on November 21, 2019.

Where is Proactive - South Central located?

Proactive - South Central is located at 9808 S 600 W, Union Mills, IN 46382. The listed phone number is (812) 645-1892.

What is Proactive - South Central's specialty?

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

Does Proactive - South Central hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D2182068) is associated with this NPI, valid through April 14, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Proactive - South Central was last updated on November 21, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.