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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 GA, LLC
NPI 1780340117
Clinic/Center - Primary Care in Lawrenceville, GA

Active since November 10, 2021
1600 N BROWN RD, LAWRENCEVILLE, GA 30043(864) 501-0751 Get Directions Write a Review

NPPES record last updated: August 31, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Aug 31, 2026, Nov 10, 2021 (2 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 1780340117), doing business as Proactive Md Mission To The World Health Center, is a healthcare organization registered as a primary care in Lawrenceville, Georgia and active in the NPI registry since November 2021. The organization lists Mark Allen Kemble, Chief Medical Officer, as its authorized official.

NPPES Registry Identity

NPI1780340117
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NamePROACTIVE MD GA, LLC
Location Address1600 N BROWN RDLawrenceville, GA 30043-8141
Mailing Address86 Villa Rd Ste 100Greenville, SC 29615-3052 · (864) 640-8355
Phone(864) 501-0751
Organization SubpartNo
Authorized OfficialMark Allen KembleChief Medical Officer · (864) 640-8355
Enumeration DateNovember 10, 2021
Last NPPES UpdateAugust 31, 20262 updates tracked since enumeration
NPPES CertifiedAugust 31, 2026
✔ NPI 1780340117 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
1600 N BROWN RD, Lawrenceville, GA 30043
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Other Names 1

Doing Business AsProactive Md Mission To The World Health Center

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. EDA MOONHI KIM M.D.
Family Medicine
1600 N BROWN RD
LAWRENCEVILLE, GA 30043
Gwinnett County (678) 710-6872
DR. DALE GRANT KNUTSON
Pediatrics
1600 N BROWN RD
LAWRENCEVILLE, GA 30043
Gwinnett County (678) 720-3562

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 1780340117. It was assigned to this organization in the NPPES registry on November 10, 2021. The provider is doing business as Proactive MD Mission to the World Health Center.

Where is Proactive MD Ga, LLC located?

Proactive MD Ga, LLC is located at 1600 N Brown Rd, Lawrenceville, GA 30043. 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 August 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 27 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.