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PROACTIVE MD
NPI 1275179541
Clinic/Center - Primary Care in New Carlisle, IN

Active since November 21, 2019
5325 N COUGAR RD, NEW CARLISLE, IN 46552(864) 501-0751 Get Directions Write a Review

NPPES record last updated: March 25, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Proactive Md NPPES

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

PROACTIVE MD (NPI 1275179541), doing business as Proactive Md New Prairie Health Center, is a healthcare organization registered as a primary care in New Carlisle, Indiana and active in the NPI registry since November 2019. The organization lists Jan Hopkins, Assoc. Ops Mgr, as its authorized official.

NPPES Registry Identity

NPI1275179541
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NamePROACTIVE MSO, LLC
Location Address5325 N COUGAR RDNew Carlisle, IN 46552-9505
Mailing Address124 Allawood CtSimpsonville, SC 29681-6207 · (864) 501-0751
Phone(864) 501-0751
Organization SubpartNo
Authorized OfficialJan HopkinsAssoc. Ops Mgr · (864) 501-0751
Enumeration DateNovember 21, 2019
Last NPPES UpdateMarch 25, 2022
NPPES CertifiedMarch 25, 2022
✔ NPI 1275179541 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
5325 N COUGAR RD, New Carlisle, IN 46552
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Other Names 2

Other NameProactive Md
Doing Business AsProactive Md New Prairie Health Center

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 Mso, LLC's NPI number?

The NPI number for Proactive Mso, LLC is 1275179541. It was assigned to this organization in the NPPES registry on November 21, 2019. The provider is doing business as Proactive MD New Prairie Health Center. The provider is also known as Proactive MD.

Where is Proactive Mso, LLC located?

Proactive Mso, LLC is located at 5325 N Cougar Rd, New Carlisle, IN 46552. The listed phone number is (864) 501-0751.

What is Proactive Mso, 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 Mso, LLC was last updated on March 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.