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

Proactive MD SC, PA

Organization Primary Care Clinic/Center · NPI 1184345159

Proactive MD SC, PA is a Primary Care Clinic/Center in Greenville, South Carolina. Registered with an NPI since 2022.

In the registry since
2022
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

86 Villa Rd
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 number1184345159
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mark Kemble — Cmo · (864) 501-0751
Other names Proactive Md Greenville Health Center; Proactive Md Greenville Health Center
NPI enumeratedSeptember 8, 2022
Last updated in NPPESApril 3, 2025
Certification dateApril 3, 2025
Mailing address124 Allawood Ct, Simpsonville, SC 29681-6207

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