Proactive MD Wi SC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

PROACTIVE MD WI SC

Doing business as

FPS Wellness Center

Practice address

8429 W Forest Hill Ave
Franklin, WI 53132-9705

Phone

(864) 501-0751

NPI assigned

Aug 16, 2025

Organization subpart

No

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

Authorized official

Name

Mark A Kemble, MD

Title

Chief Medical Officer

Phone

(864) 640-8355

Specialties & licenses 1

Addresses

Other names 1

• FPS Wellness Center Doing business as

Tax ID family

Proactive MD4 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 Wi SC

  dba Proactive MD Brakebush Westfield Health Center

  • Primary Care Clinic/Center
  • Westfield, WI
  • NPI 1871127092
  NPD tax ID
• Proactive MD Wi SC

  dba Proactive MD Family Health Center

  • Primary Care Clinic/Center
  • Waukesha, WI
  • NPI 1932935962
  NPD tax ID
• Proactive MD Wi SC

  • Primary Care Clinic/Center
  • Greenville, SC
  • NPI 1619615655
  NPD tax ID

Locations

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

{
    "created_epoch": "1755302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788307200000",
    "number": "1790662484",
    "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": "8429 W FOREST HILL AVE",
            "city": "FRANKLIN",
            "state": "WI",
            "postal_code": "531329705",
            "telephone_number": "864-501-0751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROACTIVE MD WI SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-16",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A",
        "authorized_official_last_name": "KEMBLE",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "A",
        "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": "FPS Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dawn Marie Porter, RN, BSN
• Premise Health of Wisconsin Medical SC (Mutual Health Center Franklin)
• Prestige Home Health Services LLC
• Prevail Behavioral Health Services LLC
• Abriana Prevetti, OTR
• Stacee Proctor
• David G Purcell, DPT
• Purity Wellness Clinic LLC
• Kaitlyn Quinn
• Ali Radmanesh, DDS

• Primary Care Clinic/Center in Franklin, WI
• Providers in Franklin, WI by specialty
• Primary Care Clinic/Center in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 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.