OrganizationActive
Proactive Md,sc,p.a.
NPI 1235773979 · Family Medicine Physician · Mauldin, SC
Proactive Md,sc,p.a. is a Family Medicine Physician organization in Mauldin, SC (NPI 1235773979).
Provider details
- NPI number
- 1235773979
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Proactive Md,sc,p.a.
- Organization subpart
- Yes
- Authorized official
- Mark Kemble, Cmo(864) 501-0751
Specialties & taxonomies
Allopathic & Osteopathic Physicians
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
787 E Butler Rd Ste B
Mauldin, SC 29662-3276
Phone: (864) 501-0751
Street-level locationGet directions
Mailing address
124 Allawood Ct
Simpsonville, SC 29681-6207
Other names (DBA / former)
- Other name
- Proactive MD
- Doing business as
- Proactive MD Mauldin Health Center
Registry dates
- Enumerated
- 2019-11-06
- Last updated
- 2025-04-03
- Certified
- 2025-04-03
Frequently asked questions
- What is Proactive Md,sc,p.a.'s NPI number?
- Proactive Md,sc,p.a.'s National Provider Identifier (NPI) is 1235773979, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Proactive Md,sc,p.a.?
- Proactive Md,sc,p.a. is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Proactive Md,sc,p.a. located?
- Proactive Md,sc,p.a.'s practice location on file with NPPES is 787 E Butler Rd Ste B, Mauldin, SC 29662-3276.
- What is Proactive Md,sc,p.a.'s phone number?
- The practice phone number listed in the NPPES registry for Proactive Md,sc,p.a. is (864) 501-0751.
- Who is the authorized official for Proactive Md,sc,p.a.?
- The authorized official listed on Proactive Md,sc,p.a.'s NPPES record is Mark Kemble, Cmo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Proactive Md,sc,p.a.'s NPI active?
- Yes — Proactive Md,sc,p.a.'s NPI (1235773979) is active in the NPPES registry as of the last update on 2025-04-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.