PROACTIVE MD OK LLC
NPI 1912670449
Clinic/Center - Primary Care in Greenville, SC

Active since July 30, 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, Apr 5, 2022, Jul 30, 2021 (3 updates tracked since 2021).

About Proactive Md Ok Llc NPPES

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

PROACTIVE MD OK LLC (NPI 1912670449) is a healthcare organization registered as a primary care in Greenville, South Carolina and active in the NPI registry since July 2021. The organization lists Mark Allen Kemble, Cmo, as its authorized official.

NPPES Registry Identity

NPI1912670449
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NamePROACTIVE MD OK LLC
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 Allen KembleCmo · (864) 640-8355
Enumeration DateJuly 30, 2021
Last NPPES UpdateJanuary 27, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 27, 2026
NPI 1912670449 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

Former Legal Business NameProactive Md Ok Llc

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 Ok LLC's NPI number?

The NPI number for Proactive MD Ok LLC is 1912670449. It was assigned to this organization in the NPPES registry on July 30, 2021.

Where is Proactive MD Ok LLC located?

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

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