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 1790223048

Proactive MSO, LLC is a Primary Care Clinic/Center in Lafayette, Indiana. Registered with an NPI since 2017.

In the registry since
2017
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2400 Sagamore Pkwy S
Lafayette, IN 47905-5116
Phone: (765) 772-4086
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 number1790223048
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jan Hopkins — Assoc. Ops Mgr · (864) 501-0751
Other names Proactive Md Dana Lafayette Health Center; Proactive Md
NPI enumeratedFebruary 7, 2017
Last updated in NPPESMarch 25, 2022
Certification dateMarch 25, 2022
Mailing address124 Allawood Ct, Simpsonville, SC 29681-6207

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