1. Home
  2. Directory
  3. Indiana
  4. Delphi
  5. Clinic Center
  6. NPI Profile

PROACTIVE MD DELPHI HEALTH CENTER
NPI 1629614979
Clinic/Center - Primary Care in Delphi, IN

Active since November 21, 2019CLIA 15D2182074 · Waiver
300 W VINE ST, DELPHI, IN 46923(812) 645-1892 Get Directions Write a Review

NPPES record last updated: March 25, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Proactive Md Delphi Health Center NPPES

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

PROACTIVE MD DELPHI HEALTH CENTER (NPI 1629614979) is a healthcare organization registered as a primary care in Delphi, Indiana and active in the NPI registry since November 2019. The organization holds a CLIA Waiver certificate valid through April 14, 2028 and lists Jan Hopkins, Assoc. Ops Mgr, as its authorized official.

NPPES Registry Identity

NPI1629614979
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NamePROACTIVE MSO, LLC
Location Address300 W VINE STDelphi, IN 46923-1651
Mailing Address124 Allawood CtSimpsonville, SC 29681-6207 · (864) 501-0751
Phone(812) 645-1892
Organization SubpartNo
Authorized OfficialJan HopkinsAssoc. Ops Mgr · (864) 501-0751
Enumeration DateNovember 21, 2019
Last NPPES UpdateMarch 25, 2022
NPPES CertifiedMarch 25, 2022
✔ NPI 1629614979 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
300 W VINE ST, Delphi, IN 46923
Open in Google Maps ↗

Other Names 2

Doing Business AsProactive Md Delphi Health Center
Other NameProactive Md

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 15D2182074

Proactive MD Delphi · Delphi, IN
Active · expires Apr 14, 2028
CLIA Number15D2182074
Laboratory TypePhysician Office
Certificate Effective DateApril 15, 2026
Certificate Expiration DateApril 14, 2028
Laboratory DirectorMisty Woolever
Laboratory Phone(574) 297-5527
Laboratory LocationProactive MD Delphi303 W Vine St, Delphi, IN 46923
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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 Mso, LLC's NPI number?

The NPI number for Proactive Mso, LLC is 1629614979. It was assigned to this organization in the NPPES registry on November 21, 2019. The provider is doing business as Proactive MD Delphi Health Center. The provider is also known as Proactive MD.

Where is Proactive Mso, LLC located?

Proactive Mso, LLC is located at 300 W Vine St, Delphi, IN 46923. The listed phone number is (812) 645-1892.

What is Proactive Mso, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Proactive Mso, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D2182074) is associated with this NPI, valid through April 14, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Proactive Mso, LLC was last updated on March 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.