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

PROACTIVE MD WI SC
NPI 1619615655
Clinic/Center - Primary Care in Greenville, SC

Active since May 20, 2022
86 VILLA RD STE 100, GREENVILLE, SC 29615(864) 501-0751 Get Directions Write a Review

NPPES record last updated: June 29, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Proactive Md Wi Sc NPPES

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

PROACTIVE MD WI SC (NPI 1619615655) is a healthcare organization registered as a primary care in Greenville, South Carolina and active in the NPI registry since May 2022. The organization maintains a secondary practice location in Simpsonville and lists Mark Allen Kemble, Chief Medical Officer, as its authorized official.

NPPES Registry Identity

NPI1619615655
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NamePROACTIVE MD WI SC
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 KembleChief Medical Officer · (864) 640-8355
Enumeration DateMay 20, 2022
Last NPPES UpdateJune 29, 2026
NPPES CertifiedJune 29, 2026
✔ NPI 1619615655 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

Other NameProactive Md

Secondary Practice Location 1

Location 1124 Allawood CtSimpsonville, SC 29681-6207 · Phone (864) 501-0751

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 MD KY PSC
Family Medicine
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 Wi Sc's NPI number?

The NPI number for Proactive MD Wi Sc is 1619615655. It was assigned to this organization in the NPPES registry on May 20, 2022. The provider is also known as Proactive MD.

Where is Proactive MD Wi Sc located?

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

What is Proactive MD Wi Sc'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 Wi Sc was last updated on June 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 44 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.