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

Proactive MSO, LLC

Organization Primary Care Clinic/Center · NPI 1083250351

Proactive MSO, LLC is a Primary Care Clinic/Center in Plymouth, Indiana. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

510 W Adams St Ste GL30
Plymouth, IN 46563-1784
Phone: (812) 645-1892
Show map & directions

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 number1083250351
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jody Addair — Clinical Ops Project Coordinator · (317) 556-0017
Other names Proactive Md; Proactive Md Plymouth Health Center
NPI enumeratedNovember 21, 2019
Last updated in NPPESJune 24, 2025
Certification dateJune 6, 2025
Mailing address124 Allawood Ct, Simpsonville, SC 29681-6207