Proactive MD SC,P.a.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

PROACTIVE MD SC,P.A.

Practice address

3520 W Montague Ave
N Charleston, SC 29418-6099

Phone

(843) 885-4900

NPI assigned

Feb 1, 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) 501-0751

Specialties & licenses 1

Addresses

Other names 2

• PROACTIVE MD Doing business as
• Proactive MD Town of Mt. Pleasant N. Charleston 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

Proactive MD Scpa19 organizations share this tax ID, including this one

Other organizations with this tax ID 18

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

• Proactive MD SC,P.a.

  • Family Medicine Physician
  • Spartanburg, SC
  • NPI 1033716253
  NPD tax ID
• Proactive MD SC,P.a.

  • Family Medicine Physician
  • Spartanburg, SC
  • NPI 1073171336
  NPD tax ID
• Proactive MD SC,P.a.

  • Primary Care Clinic/Center
  • Mount Pleasant, SC
  • NPI 1073279402
  NPD tax ID
• Proactive MD SC,P.a.

  • Primary Care Clinic/Center
  • Columbia, SC
  • NPI 1083433130
  NPD tax ID
• Proactive MD SC,P.a.

  • Primary Care Clinic/Center
  • Florence, SC
  • NPI 1164283958
  NPD tax ID
• Proactive MD SC,P.a.

  • Primary Care Clinic/Center
  • Greenville, SC
  • NPI 1184345159
  NPD tax ID
• Proactive MD SC,P.a.

  • Primary Care Clinic/Center
  • Columbia, SC
  • NPI 1184498628
  NPD tax ID
• Proactive MD SC,P.a.

  • Primary Care Clinic/Center
  • Greer, SC
  • NPI 1265153233
  NPD tax ID
• Proactive MD SC,P.a.

  • Primary Care Clinic/Center
  • Georgetown, SC
  • NPI 1316663834
  NPD tax ID
• Proactive MD SC,P.a.

  • Primary Care Clinic/Center
  • Conway, SC
  • NPI 1437923059
  NPD tax ID
• Proactive MD SC,P.a.

  • Primary Care Clinic/Center
  • Spartanburg, SC
  • NPI 1619535978
  NPD tax ID
• Proactive MD SC,P.a.

  • Primary Care Clinic/Center
  • Lexington, SC
  • NPI 1629842240
  NPD tax ID

Locations

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

{
    "created_epoch": "1643673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744070400000",
    "number": "1811640667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 ALLAWOOD CT.",
            "address_2": "ALLAWOOD CT",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "29681",
            "telephone_number": "864-501-0751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3520 W MONTAGUE AVE",
            "city": "N CHARLESTON",
            "state": "SC",
            "postal_code": "294186099",
            "telephone_number": "843-885-4900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROACTIVE MD SC,P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-01",
        "last_updated": "2025-04-08",
        "certification_date": "2025-04-08",
        "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": "864-501-0751",
        "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",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PROACTIVE MD",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Proactive MD Town of Mt. Pleasant N. Charleston Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Malerie Rose Plank, FNP
• Kenneth B Powell
• Freddie M Price
• Robert P Prince
• Robert A Pringle Jr., M.D. FACC
• Psychmyway
• Karen Huffman Puritis, P.A.
• Karen Ann Putila, OPTICIAN
• Karen Anne Raduazo, M.D.
• Tiffany D Ravenel, M.ED

• Primary Care Clinic/Center in N Charleston, SC
• Providers in N Charleston, SC by specialty
• Primary Care Clinic/Center in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2025; 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.