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

PROACTIVE MD MS LLC
NPI 1902474000
Clinic/Center - Primary Care in Yazoo City, MS

Active since June 15, 2021
4608 HIGHWAY 49 E, YAZOO CITY, MS 39194(662) 590-0999 Get Directions Write a Review

NPPES record last updated: June 29, 2026. Verified against the NPPES registry weekly; last sync: August 02, 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 1902474000), doing business as Proactive Md, is a healthcare organization registered as a primary care in Yazoo City, Mississippi and active in the NPI registry since June 2021. The organization lists Mark Allen Kemble, Chief Medical Officer, as its authorized official.

NPPES Registry Identity

NPI1902474000
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NamePROACTIVE MD MS LLC
Location Address4608 HIGHWAY 49 EYazoo City, MS 39194-2318
Mailing Address86 Villa Rd Ste 100Greenville, SC 29615-3052 · (864) 501-0751
Organization SubpartNo
Authorized OfficialMark Allen KembleChief Medical Officer · (864) 640-8355
Enumeration DateJune 15, 2021
Last NPPES UpdateJune 29, 2026
NPPES CertifiedJune 29, 2026
NPI 1902474000 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
4608 HIGHWAY 49 E, Yazoo City, MS 39194

Other Names 2

Doing Business AsProactive Md
Doing Business AsProactive Md Cfi Yazoo City Health 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 1902474000. It was assigned to this organization in the NPPES registry on June 15, 2021. The provider is doing business as Proactive MD and Proactive MD CFI Yazoo City Health Center.

Where is Proactive MD Ms LLC located?

Proactive MD Ms LLC is located at 4608 Highway 49 E, Yazoo City, MS 39194. The listed phone number is (662) 590-0999.

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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 42 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.