PROACTIVE MD
NPI 1790223048
Clinic/Center - Primary Care in Lafayette, IN

Active since February 07, 2017
2400 SAGAMORE PKWY S, LAFAYETTE, IN 47905(765) 772-4086 Get Directions Write a Review

NPPES record last updated: March 25, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Proactive Md NPPES

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

PROACTIVE MD (NPI 1790223048), doing business as Proactive Md Dana Lafayette Health Center, is a healthcare organization registered as a primary care in Lafayette, Indiana and active in the NPI registry since February 2017. The organization lists Jan Hopkins, Assoc. Ops Mgr, as its authorized official.

NPPES Registry Identity

NPI1790223048
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NamePROACTIVE MSO, LLC
Location Address2400 SAGAMORE PKWY SLafayette, IN 47905-5116
Mailing Address124 Allawood CtSimpsonville, SC 29681-6207 · (864) 501-0751
Organization SubpartNo
Authorized OfficialJan HopkinsAssoc. Ops Mgr · (864) 501-0751
Enumeration DateFebruary 7, 2017
Last NPPES UpdateMarch 25, 2022
NPPES CertifiedMarch 25, 2022
NPI 1790223048 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
2400 SAGAMORE PKWY S, Lafayette, IN 47905

Other Names 2

Other NameProactive Md
Doing Business AsProactive Md Dana Lafayette Health Center

Other Providers at the Same Location NPPES 4

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

Nurse Practitioner (Family)
2400 SAGAMORE PKWY S
LAFAYETTE, IN 47905
Nurse Practitioner (Family)
2400 SAGAMORE PKWY S
LAFAYETTE, IN 47905
Nurse Practitioner
2400 SAGAMORE PKWY S
LAFAYETTE, IN 47905
Nurse Practitioner (Family)
2400 SAGAMORE PKWY S
LAFAYETTE, IN 47905

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 1790223048. It was assigned to this organization in the NPPES registry on February 7, 2017. The provider is doing business as Proactive MD Dana Lafayette Health Center. The provider is also known as Proactive MD.

Where is Proactive Mso, LLC located?

Proactive Mso, LLC is located at 2400 Sagamore Pkwy S, Lafayette, IN 47905. The listed phone number is (765) 772-4086.

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.

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.