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

PROACTIVE MSO, LLC
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: September 15, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Sep 15, 2026, Nov 21, 2019 (2 updates tracked since 2019).

About Proactive Mso, Llc NPPES

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

PROACTIVE MSO, LLC (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 Mark A Kemble, Cmo, 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 Address86 Villa Rd Ste 100Greenville, SC 29615-3052 · (864) 640-8355
Organization SubpartNo
Authorized OfficialMark A KembleCmo · (864) 640-8355
Enumeration DateNovember 21, 2019
Last NPPES UpdateSeptember 15, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 15, 2026
✔ 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

Other Names 2

Doing Business AsProactive Md New Prairie Health Center
Other NameProactive Md

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 September 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.