Active NPI
Proactive MD TN PC
Doing business as Proactive MD
- Primary Care Clinic/Center
- Greenville, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Legal business name
- PROACTIVE MD TN PC
- Doing business as
- Proactive MD
- Practice address
- 86 Villa Rd Ste 100
Greenville, SC 29615-3052 - Phone
- (864) 501-0751
- NPI assigned
- Jan 24, 2024
- Last updated
- Aug 24, 2026
- Organization subpart
- No
NPPES NPI Registry
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
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | NU | Primary |
Addresses
Primary practice location
86 Villa Rd Ste 100
Greenville, SC 29615-3052
Mailing address
86 Villa Rd Ste 100
Greenville, SC 29615-3052
Phone (864) 640-8355
Other practice location 1
124 Allawood Ct
Simpsonville, SC 29681-6207
Phone (864) 501-0751
Other names 1
- Proactive MD
National Provider Directory
National Provider Directory- Tax ID family
- Proactive MD
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Thrive Health and Wellness Center
- Primary Care Clinic/Center
- Clinton, TN
- NPI 1073375242
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Medicine Physician
- Greenville, SC
- NPI 1457389637
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1706054400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1787529600000",
"number": "1588426720",
"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": "86 VILLA RD STE 100",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296153052",
"telephone_number": "864-501-0751"
}
],
"practiceLocations": [
{
"address_1": "124 Allawood Ct",
"address_purpose": "LOCATION",
"city": "Simpsonville",
"state": "SC",
"postal_code": "296816207",
"country_code": "US",
"telephone_number": "864-501-0751",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "PROACTIVE MD TN PC",
"organizational_subpart": "NO",
"enumeration_date": "2024-01-24",
"last_updated": "2026-08-24",
"certification_date": "2026-08-24",
"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": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Proactive MD",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Greenville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 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.