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

Proactive MD, SC, PA

Organization Family Medicine Physician · NPI 1235773979

Proactive MD, SC, PA provides Family Medicine Physician services 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) 640-8355
Other names Proactive Md Mauldin Health Center; Proactive Md
NPI enumeratedNovember 6, 2019
Last updated in NPPESSeptember 22, 2026
Certification dateSeptember 22, 2026
Mailing address86 Villa Rd Ste 100, Greenville, SC 29615-3052

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