Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Proactive MD Ga, LLC

Organization Primary Care Clinic/Center · NPI 1760062780

Proactive MD Ga, LLC is a Primary Care Clinic/Center in Greenville, South Carolina. Works from 2 locations. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

86 Villa Rd Ste 100
Greenville, SC 29615-3052
Phone: (864) 501-0751
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 124 Allawood Ct, Simpsonville, SC 29681-6207 — (864) 501-0751

Specialties & licences

Primary Care Clinic/Center (primary) Taxonomy 261QP2300X

Record details

NPI number1760062780
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mark Kemble — Chief Medical Officer · (864) 640-8355
Other names Proactive Md Ga, Llc; Proactive Md Ga, Llc
NPI enumeratedApril 13, 2021
Last updated in NPPESJanuary 27, 2026
Certification dateJanuary 27, 2026
Mailing address86 Villa Rd Ste 100, Greenville, SC 29615-3052

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