OrganizationActive
Proactive MD Nm, LLC
NPI 1700465002 · Primary Care Clinic/Center · Greenville, SC
Provider details
- NPI number
- 1700465002
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Mark Kemble, Cmo(864) 640-8355
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
86 Villa Rd Ste 100
Greenville, SC 29615-3052
Phone: (864) 501-0751
Street-level locationGet directions
Mailing address
86 Villa Rd Ste 100
Greenville, SC 29615-3052
Registry dates
- Enumerated
- 2021-04-05
- Last updated
- 2026-01-27
- Certified
- 2026-01-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.