Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

PROACTIVE MD TX PROFESSIONAL CORPORATION
NPI 1861175697
Clinic/Center - Primary Care in Greenville, SC

Active since August 09, 2023
86 VILLA RD STE 100, GREENVILLE, SC 29615(864) 501-0751 Get Directions Write a Review

NPPES record last updated: June 29, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 10, 2025, Aug 9, 2023 (2 updates tracked since 2023).

About Proactive Md Tx Professional Corporation NPPES

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

PROACTIVE MD TX PROFESSIONAL CORPORATION (NPI 1861175697), doing business as Proactive Md, is a healthcare organization registered as a primary care in Greenville, South Carolina and active in the NPI registry since August 2023. The organization maintains a secondary practice location in Simpsonville and lists Mark Kemble, Cmo, as its authorized official.

NPPES Registry Identity

NPI1861175697
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NamePROACTIVE MD TX PROFESSIONAL CORPORATION
Location Address86 VILLA RD STE 100Greenville, SC 29615-3052
Mailing Address86 Villa Rd Ste 100Greenville, SC 29615-3052 · (864) 501-0751
Organization SubpartNo
Authorized OfficialMark KembleCmo · (864) 501-0751
Enumeration DateAugust 9, 2023
Last NPPES UpdateJune 29, 20262 updates tracked since enumeration
NPPES CertifiedJune 29, 2026
NPI 1861175697 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

Other Names 1

Doing Business AsProactive Md

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.

Clinic/Center (Primary Care)
86 VILLA RD STE 100
GREENVILLE, SC 29615
Clinic/Center (Primary Care)
86 VILLA RD STE 100
GREENVILLE, SC 29615
Clinic/Center (Primary Care)
86 VILLA RD STE 100
GREENVILLE, SC 29615
Clinic/Center (Primary Care)
86 VILLA RD STE 100
GREENVILLE, SC 29615
Family Medicine
86 VILLA RD STE 100
GREENVILLE, SC 29615
Clinic/Center (Primary Care)
86 VILLA RD STE 100
GREENVILLE, SC 29615
Clinic/Center (Primary Care)
86 VILLA RD STE 100
GREENVILLE, SC 29615
Family Medicine
86 VILLA RD STE 100
GREENVILLE, SC 29615

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 Tx Professional Corporation's NPI number?

The NPI number for Proactive MD Tx Professional Corporation is 1861175697. It was assigned to this organization in the NPPES registry on August 9, 2023. The provider is doing business as Proactive MD.

Where is Proactive MD Tx Professional Corporation located?

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

What is Proactive MD Tx Professional Corporation'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 Tx Professional Corporation was last updated on June 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 41 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.