DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

PROACTIVE MD KY PSC

Active Organization

PROACTIVE MD KY PSC is a Family Medicine organization located in GREENVILLE, South Carolina. NPI 1609452929 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · GREENVILLE, SC

Registration Details

NPI Number
1609452929
Provider Type
Organization
NPI Issued
Mar 18, 2021 (5.4314497985573 yrs)
Last Updated
Jan 27, 2026

Practice Information

Address
86 VILLA RD STE 100
GREENVILLE, SC, 296153052
Browse SC providers · Browse ZIP 29615
Phone
8645010751
Primary Specialty
Family Medicine
207Q00000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.