Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Proactive MD Ga, LLC

Organization Primary Care Clinic/Center · NPI 1780340117

Proactive MD Ga, LLC provides Primary Care Clinic/Center services in Lawrenceville, Georgia. 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

1600 N Brown Rd
Lawrenceville, GA 30043-8141
Phone: (864) 501-0751
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Clinic/Center (primary) Taxonomy 261QP2300X

Record details

NPI number1780340117
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mark Kemble — Chief Medical Officer · (864) 640-8355
Other names Proactive Md Mission To The World Health Center
NPI enumeratedNovember 10, 2021
Last updated in NPPESAugust 31, 2026
Certification dateAugust 31, 2026
Mailing address86 Villa Rd Ste 100, Greenville, SC 29615-3052

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