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

Proactive MD SC, PA

Organization Family Medicine Physician · NPI 1033716253

Proactive MD SC, PA is a Family Medicine Physician in Spartanburg, South Carolina. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
2
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2273 Hayne St
Spartanburg, SC 29301
Phone: (864) 541-0555
Fax: (864) 345-7898
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Primary Care Clinic/Center Taxonomy 261QP2300X

Record details

NPI number1033716253
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mark Kemble — Cmo · (864) 501-0751
Other names Proactive Md Tindall Spartanburg Health Center
NPI enumeratedOctober 1, 2020
Last updated in NPPESApril 3, 2025
Certification dateApril 1, 2025
Mailing address10 Centimeters Dr, Mauldin, SC 29662-3278

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