Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
PROACTIVE MD,SC,P.A.
Active
Organization
PROACTIVE MD,SC,P.A.
Active
Parent organization
PROACTIVE MD,SC,P.A.
Other names
PROACTIVE MD, Proactive MD Mauldin Health Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
PROACTIVE MD,SC,P.A.
Authorized official
MARK ALLEN KEMBLE MD (CMO)
(864) 640-8355
Entity
Organization
Contact information
Practice address
787 E BUTLER RD STE B, MAULDIN, SC 29662-3276
(864) 501-0751
Mailing address
86 VILLA RD STE 100, GREENVILLE, SC 29615-3052
(864) 640-8355
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
11/06/2019
Last updated
09/22/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up