What is Proactive Mso, LLC's NPI number?

Proactive Mso, LLC's National Provider Identifier (NPI) is 1063058311, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What type of organization is Proactive Mso, LLC?

Proactive Mso, LLC is classified in the NPPES registry as Primary Care Clinic/Center (Ambulatory Health Care Facilities).

Where is Proactive Mso, LLC located?

Proactive Mso, LLC's practice location on file with NPPES is 715 School Dr, Winamac, IN 46996-1584.

What is Proactive Mso, LLC's phone number?

The practice phone number listed in the NPPES registry for Proactive Mso, LLC is (812) 645-1892.

Who is the authorized official for Proactive Mso, LLC?

The authorized official listed on Proactive Mso, LLC's NPPES record is Jan Hopkins, Assoc. Ops Mgr. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.

Is Proactive Mso, LLC's NPI active?

Yes — Proactive Mso, LLC's NPI (1063058311) is active in the NPPES registry as of the last update on 2022-03-25.

OrganizationActive

Proactive Mso, LLC

NPI 1063058311 · Primary Care Clinic/Center · Winamac, IN

Proactive Mso, LLC is a Primary Care Clinic/Center organization in Winamac, IN (NPI 1063058311).

Provider details

NPI number: 1063058311
Entity type: Organization
Primary specialty: Primary Care Clinic/CenterAmbulatory Health Care Facilities
Organization subpart: No
Authorized official: Jan Hopkins, Assoc. Ops Mgr(864) 501-0751

Practice location

715 School Dr

Winamac, IN 46996-1584

Phone: (812) 645-1892

Street-level locationGet directions

Mailing address

124 Allawood Ct

Simpsonville, SC 29681-6207

Specialties & taxonomies

Primary Care Clinic/CenterPrimary261QP2300X
Ambulatory Health Care Facilities

Other names (DBA / former)

Doing business as: Proactive MD
Doing business as: Proactive MD E. Pulaski Health Center

Profile Score

Established profile(66/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
6 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Enumerated: 2019-11-21
Last updated: 2022-03-25
Certified: 2022-03-25

Frequently asked questions

What is Proactive Mso, LLC's NPI number?: Proactive Mso, LLC's National Provider Identifier (NPI) is 1063058311, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
What type of organization is Proactive Mso, LLC?: Proactive Mso, LLC is classified in the NPPES registry as Primary Care Clinic/Center (Ambulatory Health Care Facilities).
Where is Proactive Mso, LLC located?: Proactive Mso, LLC's practice location on file with NPPES is 715 School Dr, Winamac, IN 46996-1584.
What is Proactive Mso, LLC's phone number?: The practice phone number listed in the NPPES registry for Proactive Mso, LLC is (812) 645-1892.
Who is the authorized official for Proactive Mso, LLC?: The authorized official listed on Proactive Mso, LLC's NPPES record is Jan Hopkins, Assoc. Ops Mgr. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
Is Proactive Mso, LLC's NPI active?: Yes — Proactive Mso, LLC's NPI (1063058311) is active in the NPPES registry as of the last update on 2022-03-25.

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Provider details

Practice location

Mailing address

Specialties & taxonomies

Other names (DBA / former)

Profile Score

Registry dates

Frequently asked questions

Specialties & taxonomies

Other names (DBA / former)

Profile Score

Frequently asked questions