Organization · Type 2 NPI

Proactive Md,sc,p.a.

Family Medicine Physician · Mauldin, SC

NPI number 1235773979 Active

Practice location

787 E Butler Rd Ste B
Mauldin, SC 29662-3276

Call (864) 501-0751 Map

Mailing address

86 Villa Rd Ste 100
Greenville, SC 29615-3052

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician Primary	207Q00000X	None listed

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Other family medicine physician providers in Mauldin

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NPI record

NPI: 1235773979
Entity type: Organization (Type 2)
Issued: Nov 6, 2019
Last updated: Sep 22, 2026
Status: Active
Subpart: Yes of Proactive Md,sc,p.a.

Other names

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Proactive MD Mauldin Health Center · doing business as
Proactive MD · other name

Authorized official

Mark Allen Kemble, MD
CMO
(864) 640-8355

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1235773979

Proactive Md,sc,p.a.'s National Provider Identifier is 1235773979, issued on Nov 6, 2019. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Mauldin, SC. The record was last updated on Sep 22, 2026.