PROACTIVE MD IA PC
NPI 1558032011
Clinic/Center - Primary Care in Mauldin, SC

NPI Status: Active since September 24, 2021

Contact Information

10 CENTIMETERS DR
MAULDIN, SC
ZIP 29662
Phone: (864) 501-0751

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  • Organization
  • Clinic/Center
  • Primary Care

About PROACTIVE MD IA PC

This page provides the complete NPI Profile along with additional information for Proactive Md Ia Pc, a primary care provider established in Mauldin, South Carolina operating as a Clinic/center, focusing in primary care . The healthcare provider is registered in the NPI registry with number 1558032011 assigned on September 2021. The practitioner's primary taxonomy code is 261QP2300X. The provider is registered as an organization and their NPI record was last updated April 2025. The provider's . The authorized official of this NPI record is Mark Kemble Md (Cmo)

NPI
1558032011
Provider Legal Name
PROACTIVE MD IA PC
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
10 CENTIMETERS DR MAULDIN, SC 29662
Location Phone
(864) 501-0751
Mailing Address
10 CENTIMETERS DR MAULDIN, SC 29662
Mailing Phone
(864) 501-0751
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-24-2021
Last Update Date
04-10-2025
Code Navigator

A primary care provider (PCP) like Proactive Md Ia Pc sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Primary Care

Taxonomy Code
261QP2300X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MARK KEMBLE MD

Authorized Official Title
CMO
Authorized Official Phone
(864) 501-0751

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1558032011
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2510803402
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 1 + 0 + 8 + 0 + 3 + 4 + 0 + 2 + 24 = 49
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 49 = 11

The NPI number 1558032011 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 4 providers are registered at the same or nearby location.

PROACTIVE MD MS LLC

Clinic/Center

(Primary Care)

10 CENTIMETERS DR
MAULDIN, SC
ZIP 29662

(864) 501-0751

DR. MELVIN HANK SEID MD

Obstetrics & Gynecology

10 CENTIMETERS DR
MAULDIN, SC
ZIP 29662

(800) 867-2289

PROACTIVE MD NM, LLC

Clinic/Center

(Primary Care)

10 CENTIMETERS DR
MAULDIN, SC
ZIP 29662

(864) 501-0751

PROACTIVE MD NC, PC

Clinic/Center

(Primary Care)

10 CENTIMETERS DR
MAULDIN, SC
ZIP 29662

(864) 501-0751

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1558032011, enumerated as an "organization" on September 24, 2021.

The provider is located at 10 CENTIMETERS DR MAULDIN, SC 29662 and the phone number is (864) 501-0751.

Clinic/Center with taxonomy code 261QP2300X and a focus in Primary Care.