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PROACTIVE MD MS LLC
NPI 1740042563
Clinic/Center - Primary Care in Ecru, MS

Active since January 26, 2024

NPPES record last updated: June 29, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Proactive Md Ms Llc NPPES

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

PROACTIVE MD MS LLC (NPI 1740042563), doing business as Ashley Wellness Center, is a healthcare organization registered as a primary care in Ecru, Mississippi and active in the NPI registry since January 2024. The organization lists Mark Allen Kemble, Chief Medical Officer, as its authorized official.

NPPES Registry Identity

NPI1740042563
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NamePROACTIVE MD MS LLC
Location Address6543 MS-15Ecru, MS 38841
Mailing Address86 Villa Rd Ste 100Greenville, SC 29615-3052 · (864) 501-0751
Phone(662) 489-2669
Organization SubpartNo
Authorized OfficialMark Allen KembleChief Medical Officer · (864) 640-8355
Enumeration DateJanuary 26, 2024
Last NPPES UpdateJune 29, 2026
NPPES CertifiedJune 29, 2026
✔ NPI 1740042563 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
6543 MS-15, Ecru, MS 38841
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Other Names 1

Doing Business AsAshley Wellness Center

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 Ms LLC's NPI number?

The NPI number for Proactive MD Ms LLC is 1740042563. It was assigned to this organization in the NPPES registry on January 26, 2024. The provider is doing business as Ashley Wellness Center.

Where is Proactive MD Ms LLC located?

Proactive MD Ms LLC is located at 6543 Ms-15, Ecru, MS 38841. The listed phone number is (662) 489-2669.

What is Proactive MD Ms LLC'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 Ms LLC was last updated on June 29, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.