# PROACTIVE MD SC,P.A.

> 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. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Proactive MD
- **Organization subpart:** No

## Provider details

- **NPI number:** 1659816932
- **Authorized official:** MARK ALLEN KEMBLE MD (CMO)
- **Authorized official phone:** (864) 640-8355

## Contact information

- **Practice address:** 86 VILLA RD STE 100, GREENVILLE, SC 29615-3052
- **Practice address phone:** (864) 501-0751
- **Mailing address:** 86 VILLA RD STE 100, GREENVILLE, SC 29615-3052
- **Mailing address phone:** (864) 640-8355

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |
| 261QP2300X | Primary Care Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 12/22/2016
- **Last updated:** 08/24/2026