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 1235773979

Proactive MD, SC, PA is a Family Medicine Physician in Mauldin, South Carolina. Registered with an NPI since 2019.

In the registry since
2019
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

787 E Butler Rd Ste B
Mauldin, SC 29662-3276
Phone: (864) 501-0751
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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

Record details

NPI number1235773979
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationProactive MD, SC, PA
Authorized official Mark Kemble — Cmo · (864) 501-0751
Other names Proactive Md Mauldin Health Center; Proactive Md
NPI enumeratedNovember 6, 2019
Last updated in NPPESApril 3, 2025
Certification dateApril 3, 2025
Mailing address124 Allawood Ct, Simpsonville, SC 29681-6207

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