Proactive MD NC, PC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

PROACTIVE MD NC, PC

Practice address

226 Bradford Ave
Fayetteville, NC 28301-5404

Phone

(910) 433-3847

Fax

(910) 912-9102

NPI assigned

May 17, 2022

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

Cmo

Phone

(864) 640-8355

Specialties & licenses 1

Addresses

Other names 1

• Proactive MD Cumberland County Employee Health Center Doing business as

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

  • Family Medicine Physician
  • Conover, NC
  • NPI 1013518166
  NPD tax ID
• Proactive MD NC, PC

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

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

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

{
    "created_epoch": "1652745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787616000000",
    "number": "1578200028",
    "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": "226 BRADFORD AVE",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283015404",
            "telephone_number": "910-433-3847",
            "fax_number": "910-912-9102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROACTIVE MD NC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-17",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A",
        "authorized_official_last_name": "KEMBLE",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "CMO",
        "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": "Proactive MD Cumberland County Employee Health Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Proactive MD Cumberland County Employee Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Private Diagnostic Clinic, PLLC
• Professional Anesthesia Services
• Professional Care Services, Inc.
• Professional Early Intervention Services, LLC
• Professional Early Intervention Services, LLC
• Professional Eyecare Optometry PA

• Primary Care Clinic/Center in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Primary Care Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2026; 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.