OrganizationActive
Proactive Mso, LLC
NPI 1326577396 · Primary Care Clinic/Center · Vincennes, IN
Provider details
- NPI number
- 1326577396
- 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
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(70/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 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
1602 Upper 11th St
Vincennes, IN 47591-4820
Phone: (812) 886-4557
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 Vincennes Health Center
Registry dates
- Enumerated
- 2017-06-05
- Last updated
- 2022-03-25
- Certified
- 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.