OrganizationActive
Proactive Mso, LLC
NPI 1790223048 · Primary Care Clinic/Center · Lafayette, IN
Proactive Mso, LLC is a Primary Care Clinic/Center organization in Lafayette, IN (NPI 1790223048).
Provider details
- NPI number
- 1790223048
- 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
2400 Sagamore Pkwy S
Lafayette, IN 47905-5116
Phone: (765) 772-4086
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 Dana Lafayette Health Center
Registry dates
- Enumerated
- 2017-02-07
- Last updated
- 2022-03-25
- Certified
- 2022-03-25
Frequently asked questions
- What is Proactive Mso, LLC's NPI number?
- Proactive Mso, LLC's National Provider Identifier (NPI) is 1790223048, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Proactive Mso, LLC?
- Proactive Mso, LLC is classified in the NPPES registry as Primary Care Clinic/Center (Ambulatory Health Care Facilities).
- Where is Proactive Mso, LLC located?
- Proactive Mso, LLC's practice location on file with NPPES is 2400 Sagamore Pkwy S, Lafayette, IN 47905-5116.
- What is Proactive Mso, LLC's phone number?
- The practice phone number listed in the NPPES registry for Proactive Mso, LLC is (765) 772-4086.
- Who is the authorized official for Proactive Mso, LLC?
- The authorized official listed on Proactive Mso, LLC's NPPES record is Jan Hopkins, Assoc. Ops Mgr. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Proactive Mso, LLC's NPI active?
- Yes — Proactive Mso, LLC's NPI (1790223048) is active in the NPPES registry as of the last update on 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.