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PROACTIVE MD GA, LLC
NPI 1760062780
Clinic/Center - Primary Care in Greenville, SC

Active since April 13, 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: July 26, 2026.

Record update history: Jan 27, 2026, Feb 23, 2023, Apr 13, 2021 (3 updates tracked since 2021).

About Proactive Md Ga, Llc NPPES

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

PROACTIVE MD GA, LLC (NPI 1760062780) is a healthcare organization registered as a primary care in Greenville, South Carolina and active in the NPI registry since April 2021. The organization maintains a secondary practice location in Simpsonville and lists Mark Allen Kemble, Chief Medical Officer, as its authorized official.

NPPES Registry Identity

NPI1760062780
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NamePROACTIVE MD GA, LLC
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 DateApril 13, 2021
Last NPPES UpdateJanuary 27, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 27, 2026
✔ NPI 1760062780 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

Former Legal Business NameProactive Md Ga, Llc

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 Ga, LLC's NPI number?

The NPI number for Proactive MD Ga, LLC is 1760062780. It was assigned to this organization in the NPPES registry on April 13, 2021.

Where is Proactive MD Ga, LLC located?

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

What is Proactive MD Ga, 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 Ga, LLC was last updated on January 27, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.