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

Active since September 24, 2021
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: August 02, 2026.

Record update history: Jan 27, 2026, Apr 10, 2025, Sep 24, 2021 (3 updates tracked since 2021).

About Proactive Md Ia Pc NPPES

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

PROACTIVE MD IA PC (NPI 1558032011), 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 September 2021. The organization lists Mark Kemble, Cmo, as its authorized official.

NPPES Registry Identity

NPI1558032011
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NamePROACTIVE MD IA PC
Location Address86 VILLA RD STE 100Greenville, SC 29615-3052
Mailing Address86 Villa Rd Ste 100Greenville, SC 29615-3052 · (864) 501-0751
Phone(864) 501-0751
Organization SubpartNo
Authorized OfficialMark KembleCmo · (864) 640-8355
Enumeration DateSeptember 24, 2021
Last NPPES UpdateJanuary 27, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 27, 2026
✔ NPI 1558032011 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

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.

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 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
PROACTIVE MSO, LLC
Clinic/Center (Primary Care)
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 Ia PC's NPI number?

The NPI number for Proactive MD Ia PC is 1558032011. It was assigned to this organization in the NPPES registry on September 24, 2021. The provider is doing business as Proactive MD.

Where is Proactive MD Ia PC located?

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

What is Proactive MD Ia PC'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 Ia PC was last updated on January 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.