Proactive MD Ok LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

PROACTIVE MD OK LLC

Practice address

1000 Terra Dr
Woodward, OK 73801-9596

Phone

(580) 290-1810

NPI assigned

Jul 30, 2021

Organization subpart

No

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

Authorized official

Name

Mark Allen Kemble, MD

Title

Chief Medical Officer

Phone

(864) 640-8355

Specialties & licenses 1

Addresses

Other names 1

• CFI Woodward 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

Cfi Verdigris Health Center3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Proactive MD Ok, LLC

  • Primary Care Clinic/Center
  • Claremore, OK
  • NPI 1649943176
  NPD tax ID
• Proactive MD Ok LLC

  • Primary Care Clinic/Center
  • Greenville, SC
  • NPI 1912670449
  NPD tax ID

Locations

Practitioners 3

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

• Jessica Rayleen Jones, APRN-CNP

  • Family Nurse Practitioner
  • Woodward, OK
  • NPI 1013422310
  NPD
• Abbey Matthews

  • Licensed Vocational Nurse
  • Woodward, OK
  • NPI 1376432468
  NPD
• Angela M Myers, APRN-CNP

  • Family Nurse Practitioner
  • Woodward, OK
  • NPI 1932478070
  NPD

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

{
    "created_epoch": "1627603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788134400000",
    "number": "1558034082",
    "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": "1000 TERRA DR",
            "city": "WOODWARD",
            "state": "OK",
            "postal_code": "738019596",
            "telephone_number": "580-290-1810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROACTIVE MD OK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-30",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-31",
        "status": "A",
        "authorized_official_last_name": "KEMBLE",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "CHIEF MEDICAL OFFICER",
        "authorized_official_telephone_number": "864-640-8355",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CFI Woodward Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Emily Powell, DNP, APRN FNP-C
• Phillip William Powell, DDS
• Kelly Pratt
• Jennifer Lee Pribble, MSW, U/S
• Debbie Sue Price
• Kristi L Prophet
• R. Troy Lehman DO PC
• Marsellia Rael, LMSW
• Randall Ramirez Jr.
• Randys Pharmacy (LTC)

• Primary Care Clinic/Center in Woodward, OK
• Providers in Woodward, OK by specialty
• Primary Care Clinic/Center in Oklahoma

• 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.