NPIMap

Organization Active NPI

Proactive Mso, LLC

Doing business as Proactive MD Veedersburg Health Center

  • Primary Care Clinic/Center
  • Veedersburg, IN
National Provider Identifier
1073066056
Registry record updated Mar 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
PROACTIVE MSO, LLC
Doing business as
Proactive MD Veedersburg Health Center
Practice address
981 E State St Ste a
Veedersburg, IN 47987-8026
Phone
(812) 645-1892
NPI assigned
Jul 26, 2016
Last updated
Mar 25, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2022

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

Authorized official

Name
Jan Hopkins
Title
Assoc. Ops MRG
Phone
(864) 501-0751

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

981 E State St Ste a
Veedersburg, IN 47987-8026

Mailing address

124 Allawood CT
Simpsonville, SC 29681-6207

Other names 1

  • Proactive MD Veedersburg Health Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Proactive Mso LLC35 organizations share this tax ID, including this one

Other organizations with this tax ID 34

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

View all 34

Locations

1325 2nd St
Ste B
Covington, IN 47932

981 E State St
#A
Veedersburg, IN 47987

NPI Registry JSON

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

{
    "created_epoch": "1469491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648166400000",
    "number": "1073066056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 ALLAWOOD CT",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296816207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "981 E STATE ST STE A",
            "city": "VEEDERSBURG",
            "state": "IN",
            "postal_code": "479878026",
            "telephone_number": "812-645-1892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROACTIVE MSO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-26",
        "last_updated": "2022-03-25",
        "certification_date": "2022-03-25",
        "status": "A",
        "authorized_official_last_name": "HOPKINS",
        "authorized_official_first_name": "JAN",
        "authorized_official_title_or_position": "ASSOC. OPS MRG",
        "authorized_official_telephone_number": "864-501-0751"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Proactive MD Veedersburg Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Veedersburg, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.