OrganizationActive
Proactive Mso, LLC
NPI 1083250351 · Primary Care Clinic/Center · Plymouth, IN
Proactive Mso, LLC is a Primary Care Clinic/Center organization in Plymouth, IN (NPI 1083250351).
Provider details
- NPI number
- 1083250351
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jody Addair, Clinical Ops Project Coordinator(317) 556-0017
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(65/100 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.
Practice location
510 W Adams St Ste Gl30
Plymouth, IN 46563-1784
Phone: (812) 645-1892
Street-level locationGet directions
Mailing address
124 Allawood Ct
Simpsonville, SC 29681-6207
Other names (DBA / former)
- Doing business as
- Proactive MD
- Doing business as
- Proactive MD Plymouth Health Center
Registry dates
- Enumerated
- 2019-11-21
- Last updated
- 2025-06-24
- Certified
- 2025-06-06
Frequently asked questions
- What is Proactive Mso, LLC's NPI number?
- Proactive Mso, LLC's National Provider Identifier (NPI) is 1083250351, 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 510 W Adams St Ste Gl30, Plymouth, IN 46563-1784.
- 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 Jody Addair, Clinical Ops Project Coordinator. 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 (1083250351) is active in the NPPES registry as of the last update on 2025-06-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.