Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Proactive MD Ky PSC

Organization Family Medicine Physician · NPI 1609452929

Proactive MD Ky PSC provides Family Medicine Physician services in Greenville, South Carolina. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
PSC — Professional service corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

86 Villa Rd Ste 100
Greenville, SC 29615-3052
Phone: (864) 501-0751
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1609452929
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mark Kemble — Cmo · (864) 640-8355
NPI enumeratedMarch 18, 2021
Last updated in NPPESJanuary 27, 2026
Certification dateJanuary 27, 2026
Mailing address86 Villa Rd Ste 100, Greenville, SC 29615-3052

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