Proactive MD Ga, LLC
NPI 1760062780 · Primary Care Clinic/Center · Greenville, SC
Proactive MD Ga, LLC is a Primary Care Clinic/Center organization in Greenville, SC (NPI 1760062780).
Provider details
- NPI number
- 1760062780
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Mark Kemble, Chief Medical Officer(864) 640-8355
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
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
2 documented practice locations
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
Mailing address
Other names (DBA / former)
- Former legal business name
- Proactive MD Ga, LLC
- Former legal business name
- Proactive MD Ga, LLC
Additional practice locations (1)
- 124 Allawood CtSimpsonville, SC 29681-6207Phone: (864) 501-0751
Registry dates
- Enumerated
- 2021-04-13
- Last updated
- 2026-01-27
- Certified
- 2026-01-27
Frequently asked questions
- What is Proactive MD Ga, LLC's NPI number?
- Proactive MD Ga, LLC's National Provider Identifier (NPI) is 1760062780, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Proactive MD Ga, LLC?
- Proactive MD Ga, LLC is classified in the NPPES registry as Primary Care Clinic/Center (Ambulatory Health Care Facilities).
- Where is Proactive MD Ga, LLC located?
- Proactive MD Ga, LLC's practice location on file with NPPES is 86 Villa Rd Ste 100, Greenville, SC 29615-3052.
- What is Proactive MD Ga, LLC's phone number?
- The practice phone number listed in the NPPES registry for Proactive MD Ga, LLC is (864) 501-0751.
- Who is the authorized official for Proactive MD Ga, LLC?
- The authorized official listed on Proactive MD Ga, LLC's NPPES record is Mark Kemble, Chief Medical Officer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Proactive MD Ga, LLC's NPI active?
- Yes — Proactive MD Ga, LLC's NPI (1760062780) is active in the NPPES registry as of the last update on 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.