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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 MI PLLC
NPI 1255106498
Clinic/Center - Primary Care in Greenville, SC

Active since November 17, 2023CLIA 23D2298158 · Waiver
86 VILLA RD STE 100, GREENVILLE, SC 29615(864) 640-8355 Get Directions Write a Review

NPPES record last updated: August 24, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 24, 2026, Nov 17, 2023 (2 updates tracked since 2023).

About Proactive Md Mi Pllc NPPES

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

PROACTIVE MD MI PLLC (NPI 1255106498), doing business as Proactive Md-l&l Health Center, is a healthcare organization registered as a primary care in Greenville, South Carolina and active in the NPI registry since November 2023. The organization holds a CLIA Waiver certificate valid through January 29, 2028, maintains a secondary practice location in Bruce Twp, and lists Mark Allen Kemble, Chief Medical Officer, as its authorized official.

NPPES Registry Identity

NPI1255106498
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NamePROACTIVE MD MI PLLC
Location Address86 VILLA RD STE 100Greenville, SC 29615-3052
Mailing Address86 Villa Rd Ste 100Greenville, SC 29615-3052 · (864) 640-8355
Phone(864) 640-8355
Organization SubpartNo
Authorized OfficialMark Allen KembleChief Medical Officer · (864) 640-8355
Enumeration DateNovember 17, 2023
Last NPPES UpdateAugust 24, 20262 updates tracked since enumeration
NPPES CertifiedAugust 24, 2026
✔ NPI 1255106498 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
86 VILLA RD STE 100, Greenville, SC 29615
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Other Names 1

Doing Business AsProactive Md-l&l Health Center

Secondary Practice Location 1

Location 1164 McLeanBruce Twp, MI 48065-4919 · Phone (864) 501-0751

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 23D2298158

Proactive MD L&l Health Center · Romeo, MI
Active · expires Jan 29, 2028
CLIA Number23D2298158
Laboratory TypePractitioner Other
Certificate Effective DateJanuary 30, 2026
Certificate Expiration DateJanuary 29, 2028
Laboratory DirectorPaula A. Witte
Laboratory Phone(586) 336-3467
Laboratory LocationProactive MD L&l Health Center164 Mclean Drive, Romeo, MI 48065
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 19

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

PROACTIVE MD OH LLC
Clinic/Center (Primary Care)
86 VILLA RD STE 100
GREENVILLE, SC 29615
Greenville County (864) 501-0751
PROACTIVE MD PENN PC
Clinic/Center (Primary Care)
86 VILLA RD STE 100
GREENVILLE, SC 29615
Greenville County (864) 640-8355
PROACTIVE MD NC, PC
Clinic/Center (Primary Care)
86 VILLA RD STE 100
GREENVILLE, SC 29615
Greenville County (864) 501-0751
PROACTIVE MD LA A
Clinic/Center (Primary Care)
86 VILLA RD STE 100
GREENVILLE, SC 29615
Greenville County (864) 501-0751
MARK ALLEN KEMBLE M.D.
Family Medicine
86 VILLA RD STE 100
GREENVILLE, SC 29615
Greenville County (864) 334-8979
PROACTIVE MD IA PC
Clinic/Center (Primary Care)
86 VILLA RD STE 100
GREENVILLE, SC 29615
Greenville County (864) 501-0751
PROACTIVE MD TN PC
Clinic/Center (Primary Care)
86 VILLA RD STE 100
GREENVILLE, SC 29615
Greenville County (864) 501-0751
PROACTIVE MD KY PSC
Family Medicine
86 VILLA RD STE 100
GREENVILLE, SC 29615
Greenville County (864) 501-0751

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 Mi PLLC's NPI number?

The NPI number for Proactive MD Mi PLLC is 1255106498. It was assigned to this organization in the NPPES registry on November 17, 2023. The provider is doing business as Proactive MD-L&L Health Center.

Where is Proactive MD Mi PLLC located?

Proactive MD Mi PLLC is located at 86 Villa Rd Ste 100, Greenville, SC 29615. The listed phone number is (864) 640-8355.

What is Proactive MD Mi PLLC's specialty?

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

Does Proactive MD Mi PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D2298158) is associated with this NPI, valid through January 29, 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 MD Mi PLLC was last updated on August 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.