Proactive MD NC, PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

PROACTIVE MD NC, PC

Practice address

1220 Commerce St SW Ste J
Conover, NC 28613-8257

Phone

(828) 282-2280

Fax

(828) 282-2278

NPI assigned

Nov 5, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mark Kemble, MD

Title

Cmo

Phone

(864) 640-8355

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Lee Industries Health Center Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Lee Industries Health Center4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• Proactive MD NC, PC

  • Primary Care Clinic/Center
  • Mocksville, NC
  • NPI 1154036713
  NPD tax ID
• Proactive MD NC, PC

  • Primary Care Clinic/Center
  • Fayetteville, NC
  • NPI 1578200028
  NPD tax ID
• Proactive MD NC, PC

  • Primary Care Clinic/Center
  • Greenville, SC
  • NPI 1417521857
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Amanda Kay Collier, FNP

  • Family Nurse Practitioner
  • Lincolnton, NC
  • NPI 1831661917
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1604534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788134400000",
    "number": "1013518166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "86 VILLA RD STE 100",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296153052",
            "telephone_number": "864-640-8355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 COMMERCE ST SW STE J",
            "city": "CONOVER",
            "state": "NC",
            "postal_code": "286138257",
            "telephone_number": "828-282-2280",
            "fax_number": "828-282-2278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROACTIVE MD NC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-05",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-31",
        "status": "A",
        "authorized_official_last_name": "KEMBLE",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "CMO",
        "authorized_official_telephone_number": "864-640-8355",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER NPI",
            "identifier": "1831661917",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lee Industries Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Premier Home Health Care Services
• Premier Home Health Care Services
• Premier Home Health Care Services, Inc.
• Premier Home Health Care Services, Inc.
• Billy L Price Jr., MD
• Professional Family Care, LLC
• Sophie K Reaves, LCMHC
• Taryn Dawn Reep, FNP-C
• Restoration Home Care Services
• Restoration Home Care Services Inc.

• Family Medicine Physician in Conover, NC
• Providers in Conover, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.