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PROACTIVE MD KY PSC
NPI 1609452929
Family Medicine in Greenville, SC

Active since March 18, 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 09, 2026.

Record update history: Jan 27, 2026, Jul 31, 2024, May 1, 2023 and 2 more (5 updates tracked since 2021).

About Proactive Md Ky Psc NPPES

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

PROACTIVE MD KY PSC (NPI 1609452929) is a healthcare organization registered as a family medicine in Greenville, South Carolina and active in the NPI registry since March 2021. The organization lists Mark Allen Kemble, Cmo, as its authorized official.

NPPES Registry Identity

NPI1609452929
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePROACTIVE MD KY PSC
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 Allen KembleCmo · (864) 640-8355
Enumeration DateMarch 18, 2021
Last NPPES UpdateJanuary 27, 20265 updates tracked since enumeration
NPPES CertifiedJanuary 27, 2026
✔ NPI 1609452929 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
86 VILLA RD STE 100, Greenville, SC 29615
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 IA PC
Clinic/Center (Primary Care)
86 VILLA RD STE 100
GREENVILLE, SC 29615
Greenville County (864) 501-0751
PROACTIVE MD TN PC
Clinic/Center (Primary Care)
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 Ky Psc's NPI number?

The NPI number for Proactive MD Ky Psc is 1609452929. It was assigned to this organization in the NPPES registry on March 18, 2021.

Where is Proactive MD Ky Psc located?

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

What is Proactive MD Ky Psc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Proactive MD Ky Psc 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.