PROACTIVE MD LA A
NPI 1447901392
Clinic/Center - Primary Care in Greenville, SC

Active since January 12, 2022
86 VILLA RD STE 100, GREENVILLE, SC 29615(864) 501-0751 Get Directions Write a Review

NPPES record last updated: January 27, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 27, 2026, Jan 12, 2022 (2 updates tracked since 2022).

About Proactive Md La A NPPES

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

PROACTIVE MD LA A (NPI 1447901392), doing business as Proactive Md, is a healthcare organization registered as a primary care in Greenville, South Carolina and active in the NPI registry since January 2022. The organization lists Mark Allen Kemble, Cmo, as its authorized official.

NPPES Registry Identity

NPI1447901392
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NamePROACTIVE MD LA A
Location Address86 VILLA RD STE 100Greenville, SC 29615-3052
Mailing Address86 Villa Rd Ste 100Greenville, SC 29615-3052 · (864) 501-0751
Organization SubpartNo
Authorized OfficialMark Allen KembleCmo · (864) 640-8355
Enumeration DateJanuary 12, 2022
Last NPPES UpdateJanuary 27, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 27, 2026
NPI 1447901392 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

Other Names 1

Doing Business AsProactive Md

Other Providers at the Same Location NPPES 17

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

Clinic/Center (Primary Care)
86 VILLA RD STE 100
GREENVILLE, SC 29615
Clinic/Center (Primary Care)
86 VILLA RD STE 100
GREENVILLE, SC 29615
Clinic/Center (Primary Care)
86 VILLA RD STE 100
GREENVILLE, SC 29615
Family Medicine
86 VILLA RD STE 100
GREENVILLE, SC 29615
Clinic/Center (Primary Care)
86 VILLA RD STE 100
GREENVILLE, SC 29615
Clinic/Center (Primary Care)
86 VILLA RD STE 100
GREENVILLE, SC 29615
Family Medicine
86 VILLA RD STE 100
GREENVILLE, SC 29615
Clinic/Center (Primary Care)
86 VILLA RD STE 100
GREENVILLE, SC 29615

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 La A's NPI number?

The NPI number for Proactive MD La A is 1447901392. It was assigned to this organization in the NPPES registry on January 12, 2022. The provider is doing business as Proactive MD.

Where is Proactive MD La A located?

Proactive MD La A is located at 86 Villa Rd Ste 100, Greenville, SC 29615. The listed phone number is (864) 501-0751.

What is Proactive MD La A'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 MD La A was last updated on January 27, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.