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

Proactive MD Ia PC

Organization Primary Care Clinic/Center · NPI 1558032011

Proactive MD Ia PC is a Primary Care Clinic/Center in Greenville, South Carolina. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
PC — Professional corporation
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.

Specialties & licences

Primary Care Clinic/Center (primary) Taxonomy 261QP2300X

Record details

NPI number1558032011
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mark Kemble — Cmo · (864) 640-8355
Other names Proactive Md; Proactive Md
NPI enumeratedSeptember 24, 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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