OrganizationActive
Proactive Mso, LLC
NPI 1366169237 · Primary Care Clinic/Center · Monticello, IN
Provider details
- NPI number
- 1366169237
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jan Hopkins, Operations Manager(864) 501-0751
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(59/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
303 N Main St
Monticello, IN 47960-2134
Phone: (574) 297-5527
Street-level locationGet directions
Mailing address
124 Allawood Ct
Simpsonville, SC 29681-6207
Other names (DBA / former)
- Doing business as
- Proactive MD Mase Monticello Health Center
Registry dates
- Enumerated
- 2022-10-21
- Last updated
- 2022-10-21
- Certified
- 2022-10-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.