PROACTIVE MD SC,P.A. – NPI #1033716253
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Health Care Provider Taxonomy Code for Family Medicine

PROACTIVE MD SC,P.A. is a provider located in SPARTANBURG, SC. NPPES has assigned the NPI number 1033716253 to PROACTIVE MD SC,P.A. on October 01, 2020. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was last updated on Apr 03, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PROACTIVE MD SC,P.A. below.

NPI Profile for
PROACTIVE MD SC,P.A.

NPI Number
1033716253
Enumeration Date

(more than 5 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PROACTIVE MD SC,P.A.
Primary location
2273 HAYNE ST.
SPARTANBURG, SC 29301
Phone: (864) 541-0555 Fax: (864) 345-7898
Mailing address
10 CENTIMETERS DR
MAULDIN, SC 29662-3278
Phone: Fax:
Organization Subpart
No
Authorized Official
MARK KEMBLE
CMO
Phone: (864) 501-0751
Updated
Certification Date
Apr 01, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)
261QP2300X
- Clinic/Center / Primary Care

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

View All Endpoint(s)
Endpoint
864-345-7898
Endpoint type
Other URL
Endpoint Description
EMR FAX
Content Type
OTHER
Affiliation
N
Endpoint Location
2273 HAYNE ST.,
SPARTANBURG, SC 77025-1669
Endpoint
864-345-7898
Endpoint type
Other URL
Endpoint Description
EMR FAX
Content Type
OTHER
Affiliation
Y
Endpoint Location
2273 HAYNE ST.,
SPARTANBURG, SC 77025-1669